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

Tantut Susanto

Tantut Susanto

Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas JemberJember, Indonesia
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Susanto, Tantut
, 
Kumboyono,

Kumboyono,

Department of Community, Family and Geriatric Nursing, School of Nursing, Faculty of Medicine, Universitas BrawijayaMalang, Indonesia
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Kumboyono,
, 
Irawan Fajar Kusuma

Irawan Fajar Kusuma

Department of Internal Medicine and Neurology, Faculty of Medicine, Universitas JemberJember, Indonesia
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Kusuma, Irawan Fajar
, 
Adzham Purwandhono

Adzham Purwandhono

Department of Neurology, Soebandi Regional Hospital, Faculty of Medicine, Universitas JemberJember, Indonesia
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Purwandhono, Adzham
 e 
Junaiti Sahar

Junaiti Sahar

Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas IndonesiaDepok, Indonesia
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Sahar, Junaiti
  
03 ago 2022
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Categoria dell'articolo: Original Article
Pubblicato online: 03 ago 2022
Pagine: 187 - 195
Ricevuto: 03 set 2021
Accettato: 23 nov 2021
DOI: https://doi.org/10.2478/fon-2022-0021
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© 2022 Tantut Susanto et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

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.
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicina, Professioni assisitive, infermieristica
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