<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>This study evaluates the community-based intervention of chronic disease management (CDM) through the Integrated Non-Communicable Diseases Health Post (Posbindu-NCD) conducted by a community of health workers (CHWs) in Indonesia's rural areas.</p>
</sec>
<sec><h3>Methods</h3>
<p>A cohort retrospective study evaluated 577 participants from Posbindu-NCD in 7 public health centers (PHCs) in 2019. Activities of intervention of CDM for Posbindu-NCD was included, identified risk factors to NCDs, and provided counselling education and other follow-ups based on interviews and measurement results from the five Desk systems that recorded in a medical record as a form of the monthly activity report each the first month, the 6 months, and the 12th month.</p>
</sec>
<sec><h3>Results</h3>
<p>There were statistically significant differences for alcohol consumed and diabetes mellites (<italic>χ<sup>2</sup></italic> = 10.455; <italic>P</italic> = 0.001). There were significant differences on gender (<italic>χ<sup>2</sup></italic> = 3.963; <italic>P</italic> = 0.047), on ethnicity (<italic>χ<sup>2</sup></italic> = 19.873; <italic>P</italic> &lt; 0.001), and hypertension. In addition, there were also significant differences on ethnicity (<italic>χ<sup>2</sup></italic> = 15.307; <italic>P</italic> &lt; 0.001), vegetable consumption (<italic>χ<sup>2</sup></italic> = 4.435; <italic>P</italic> = 0.035), physical exercise (<italic>χ<sup>2</sup></italic> = 6.328; <italic>P</italic> = 0.012), and the current diseases of hypercholesterolemia of participants. Furthermore, the survival rate among patients who have overweight, abdominal overweight, hypertension, diabetes mellitus, and hypercholesterolemia increased among participants who regularly visited Posbindu-NCD compared with the non-regularly one.</p>
</sec>
<sec><h3>Conclusions</h3>
<p>The CDM program's community-based intervention through Posbindu-NCD conducted by CHWs improved survival rates in Indonesia's rural areas. Therefore, this program can be further developed in conducting CDM in the community with the active involvement of CHWs so that the community becomes active regularly in participating in Posbindu-NCD activities in rural areas of Indonesia.</p>
</sec>
</abstract>

Objective
This study evaluates the community-based intervention of chronic disease management (CDM) through the Integrated Non-Communicable Diseases Health Post (Posbindu-NCD) conducted by a community of health workers (CHWs) in Indonesia's rural areas.

Methods
A cohort retrospective study evaluated 577 participants from Posbindu-NCD in 7 public health centers (PHCs) in 2019. Activities of intervention of CDM for Posbindu-NCD was included, identified risk factors to NCDs, and provided counselling education and other follow-ups based on interviews and measurement results from the five Desk systems that recorded in a medical record as a form of the monthly activity report each the first month, the 6 months, and the 12th month.

Results
There were statistically significant differences for alcohol consumed and diabetes mellites (χ2 = 10.455; P = 0.001). There were significant differences on gender (χ2 = 3.963; P = 0.047), on ethnicity (χ2 = 19.873; P < 0.001), and hypertension. In addition, there were also significant differences on ethnicity (χ2 = 15.307; P < 0.001), vegetable consumption (χ2 = 4.435; P = 0.035), physical exercise (χ2 = 6.328; P = 0.012), and the current diseases of hypercholesterolemia of participants. Furthermore, the survival rate among patients who have overweight, abdominal overweight, hypertension, diabetes mellitus, and hypercholesterolemia increased among participants who regularly visited Posbindu-NCD compared with the non-regularly one.

Conclusions
The CDM program's community-based intervention through Posbindu-NCD conducted by CHWs improved survival rates in Indonesia's rural areas. Therefore, this program can be further developed in conducting CDM in the community with the active involvement of CHWs so that the community becomes active regularly in participating in Posbindu-NCD activities in rural areas of Indonesia.

Community-based intervention of chronic disease management program in rural areas of Indonesia<xref ref-type="fn" rid="j_fon-2022-0021_fn_001"><sup>†</sup></xref>

Department of Community, Family and Geriatric Nursing, Faculty of Nursing

Department of Community, Family and Geriatric Nursing, School of Nursing, Faculty of Medicine

Department of Internal Medicine and Neurology, Faculty of Medicine

Department of Neurology, Soebandi Regional Hospital, Faculty of Medicine

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Community-based intervention of chronic disease management program in rural areas of Indonesia

Objective
This study evaluates the community-based intervention of chronic disease management (CDM) through the Integrated Non-Communicable Diseases Health...

Community-based intervention of chronic disease management program in rural areas of Indonesia^†

Article Category: Original Article

Online veröffentlicht: 03. Aug. 2022

Seitenbereich: 187 - 195

Eingereicht: 03. Sept. 2021

Akzeptiert: 23. Nov. 2021

DOI: https://doi.org/10.2478/fon-2022-0021

Schlüsselwörter
chronic disease management, community-based intervention, community health worker, non-communicable disease

© 2022 Tantut Susanto et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Community-based intervention of chronic disease management program in rural areas of Indonesia†

Article Category: Original Article

Online veröffentlicht: 03. Aug. 2022

Seitenbereich: 187 - 195

Eingereicht: 03. Sept. 2021

Akzeptiert: 23. Nov. 2021

DOI: https://doi.org/10.2478/fon-2022-0021

Schlüsselwörterchronic disease management, community-based intervention, community health worker, non-communicable disease

© 2022 Tantut Susanto et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Community-based intervention of chronic disease management program in rural areas of Indonesia^†

Schlüsselwörter
chronic disease management, community-based intervention, community health worker, non-communicable disease