Preventing Non-Communicable Diseases in the Elderly: A Holistic Approach through Posbindu and Physical Activities
DOI:
https://doi.org/10.47197/retos.v67.113074Keywords:
physical activities, integrated health post, non-communicable diseases, PosbinduAbstract
Introduction: the current health problem in Indonesia is the double burden of disease, namely the presence of infectious diseases plus the increase in non-communicable diseases (NCD).
Objective: this research aims to propose actionable strategies to improve the utilization of Posbindu services, ultimately contributing to the prevention of NCDs at the elderly.
Methodology: the research design with an analytical observational method with a Cross-Sectional approach. The sample in this study was 376 randomly selected. This research was conducted in Kabupaten Labuhan Batu Utara.
Results: the results of the Mann-Whitney statistical test on the knowledge variable obtained a p-value > 0.05, which stated that there was no significant difference in the knowledge of the respondents who used and did not use the program Posbindu.
Discussion: the results of the Independent Sample T-test statistical test on the attitude variable, behaviour variable, family support variable, stakeholder support variable, self-motivation variable, and mileage variable also have a p-value> 0.05, which means that there is no significant difference between the variables of family support, stakeholder support, self-motivation and distance to Posbindu with the respondent groups who use Posbindu and those who do not use.
Conclusion: the elderly who know about the existence of Posbindu, make them live healthier. Because they have gained knowledge about how to live a healthy lifestyle and how to prevent non-communicable diseases. They believe that as they get older, many diseases can infect their bodies so they must start learning to adopt a healthy lifestyle.
References
Abdul-Mutalib, N. A., Abdul-Rashid, M. F., Mustafa, S., Amin-Nordin, S., Hamat, R. A., & Osman, M. (2012). Knowledge, attitude and practices regarding food hygiene and sanitation of food handlers in Kuala Pilah, Malaysia. Food Control, 27(2), 289–293. https://doi.org/10.1016/j.foodcont.2012.04.001
Al-Haroni, H., Nik Farid, N. D., & Azanan, M. S. (2024). Effectiveness of education intervention, with regards to physical activity level and a healthy diet, among Middle Eastern adolescents in Malaysia: A study protocol for a randomized control trial, based on a health belief model. PLoS ONE, 19(1 January). https://doi.org/10.1371/journal.pone.0289937
Anita, B., Febriawati, H., & Yandrizal, Y. (2016). The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance. Jurnal Kesehatan Masyarakat, 12(1). https://doi.org/10.15294/kemas.v12i1.3933
Bekele, A., Alem, A., Seward, N., Eshetu, T., Gebremariam, T. H., Getachew, Y., Mengiste, W., Medhin, G., Fairall, L., Sevdalis, N., Prince, M., Fekadu, A., & Hanlon, C. (2024). Barriers and enablers to improving integrated primary healthcare for non-communicable diseases and mental health conditions in Ethiopia: a mixed methods study. BMC Primary Care, 25(1), 211. https://doi.org/10.1186/s12875-024-02458-6
Bengan, F., Nulhakim, L., & Tini, T. (2022). Factors Related to The Utilization of The Integrated Development Posts of Non-Convenient Diseases in The Pandemic Era in The Work Area of Sekolaq Health Centre in 2022. KESANS : International Journal of Health and Science, 2(2), 98–112. https://doi.org/10.54543/kesans.v2i2.165
Dodd, R., Palagyi, A., Jan, S., Abdel-All, M., Nambiar, D., Madhira, P., Balane, C., Tian, M., Joshi, R., Abimbola, S., & Peiris, D. (2019). Organisation of primary health care systems in low- and middle-income countries: review of evidence on what works and why in the Asia-Pacific region. BMJ Global Health, 4(Suppl 8), e001487. https://doi.org/10.1136/bmjgh-2019-001487
Duma, K., Bahktiar, R., Fitriany, E., Weraman, P., & Maria, I. L. (2024). Prevention and Control of Non-Communicable Diseases (NCDs) Through Integrated development Posts (Posbindu) on Campus. South Eastern European Journal of Public Health, 2764–2771. https://doi.org/10.70135/seejph.vi.2534
Dwisetyo, B., Mulyono, S., & Khasanah, U. (2020). Pengaruh Peran Kader dan Dukungan Keluarga dengan Pemanfaatan Pos Pembinaan Terpadu Penyakit Tidak Menular. Jurnal Ilmiah Kesehatan Pencerah, 09(2), 81–86.
Dzudie, A., Dehayem, M., Kuate, L. M., Ndom, M. S., Ouankou, C. N., Ebasone, P. V., Ngongang, A. D., Njume, E., Kamdem, F., Choukem, S. P., Essomba, N. E., Ateudjieu, J., Folefack, F. K., Obada, E. N., Nono, A., Kitio, B., Tchendjou, P., Thienemann, F., Boombhi, J., … Mbanya, J. C. (2024). Ten Recommendations for Accelerating Hypertension and Diabetes Control to Reduce Stroke, Heart, and Renal Disease with the Aim to Save Lives in Cameroon Through Partnerships and Collaborations. Advances in Therapy, 41(11), 3996–4007. https://doi.org/10.1007/s12325-024-02960-4
Indriani, R. A., Zulfendri, Z., & Utama, S. (2018). Pengaruh Karakteristik Organisasi Terhadap Pemanfaatan Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM) di Wilayah Puskesmas Helvetia Medan. Berita Kedokteran Masyarakat, 15. https://doi.org/10.22146/bkm.35600
Jayanna, K., Swaroop, N., Kar, A., Ramanaik, S., Pati, M. K., Pujar, A., Rai, P., Chitrapu, S., Patil, G., Aggarwal, P., Saksena, S., Madegowda, H., Rekha, S., & Mohan, H. L. (2019). Designing a comprehensive Non-Communicable Diseases (NCD) programme for hypertension and diabetes at primary health care level: evidence and experience from urban Karnataka, South India. BMC Public Health, 19(1), 409. https://doi.org/10.1186/s12889-019-6735-z
Jennings, C., & Astin, F. (2017). A multidisciplinary approach to prevention. European Journal of Preventive Cardiology, 24(3_suppl), 77–87. https://doi.org/10.1177/2047487317709118
Kadariya, S., Ball, L., Chua, D., Ryding, H., Hobby, J., Marsh, J., Bartrim, K., Mitchell, L., & Parkinson, J. (2023). Community Organising Frameworks, Models, and Processes to Improve Health: A Systematic Scoping Review. International Journal of Environmental Research and Public Health, 20(7), 5341. https://doi.org/10.3390/ijerph20075341
Kamada, M., Kitayuguchi, J., Abe, T., Taguri, M., Inoue, S., Ishikawa, Y., Harada, K., Lee, I.-M., Bauman, A., & Miyachi, M. (2015). Community-wide promotion of physical activity in middle-aged and older Japanese: a 3-year evaluation of a cluster randomized trial. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 82. https://doi.org/10.1186/s12966-015-0242-0
Korcz, A., Cieśla, E., & Urbański, P. (2024). The role of school functioning, physical activity, BMI, sex and age in building resilience among Ukrainian refugee children in Poland. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-55933-6
Machmud, R., Noer, M., Indrawati Lipoeto, N., Rahajeng, E., & Kodrat Pramudho, P. A. (2016). The Empowerment of Integrated Development Post of Non-communicable Diseases in Efforts to Prevent Non-communicable Diseases. In International Journal of Public Health Science (IJPHS) (Vol. 5, Issue 3).
Mashdariyah, A., & Rukanah, R. (2019). Peran Masyarakat Dalam Kegiatan POSBINDU PTM Di Kelurahan Lumpur Kabupaten Gresik Tahun 2019. Jurnal Kebidanan Midwiferia, 5(2), 1–11. https://doi.org/10.21070/mid.v5i2.2767
Musoke, D., Atusingwize, E., Ikhile, D., Nalinya, S., Ssemugabo, C., Lubega, G. B., Omodara, D., Ndejjo, R., & Gibson, L. (2021). Community health workers’ involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda. Globalization and Health, 17(1), 1–11. https://doi.org/10.1186/s12992-020-00653-5
Noviati, E. (2021). Faktor yang Mempengaruhi Pemanfaatn Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM). Jurnal Kesehatan STIKes Muhammadiyah Ciamis, 7(2), 8–15. https://doi.org/10.52221/jurkes.v7i2.62
Nugraheni, W. P., & Hartono, R. K. (2018). Strategi Penguatan Program Posbindu Penyakit Tidak Menular di Kota Bogor. Jurnal Ilmu Kesehatan Masyarakat, 9(3), 198–206. https://doi.org/10.26553/jikm.2018.9.3
Oktarianita, O., Wati, N., Febriawati, H., & Afriyanto, A. (2020). An Analysis on the Implementation of Posbindu PTM Program at Beringin Raya Community Health Center Bengkulu. Disease Prevention and Public Health Journal, 15(1), 1. https://doi.org/10.12928/dpphj.v15i1.2841
Poniasih, A., Sunarti, S., Sulistyawati, S., & Rokhmayanti, R. (2024). Description of non-communicable diseases and risk factors related to lifestyle among POSBINDU (Integrated Guidance Posts) participants in Yogyakarta in 2022. Jurnal Cakrawala Promkes, 6(1), 22–27. https://doi.org/10.12928/jcp.v6i1.8740
Qutishat, D., Muhaidat, J., Mohammad, M., Okasheh, R., Al-Khlaifat, L., & Al-Yahya, E. (2021). Exploring attitudes of physiotherapy students towards a community-based project used as a learning tool. Physiotherapy Theory and Practice, 37(1), 115–125. https://doi.org/10.1080/09593985.2019.1619209
Rusmiati, Hidayat, W., & Silitongga, E. (2021). Faktor-Faktor yang Berhubungan dengan Pemanfaatan Pos Pelayanan Terpadu (Posbindu) Penyakit Tidak Menular di Wilayah Kerja Puskesmas Simpang Tiga Kecamatan Bukit Kabupaten Bener Meriah. Journal of Healthcare Technology and Medicine, 7(2).
Sari, C. W. M., Khoeriyah, V. N., & Lukman, M. (2024). Factors Related to The Utilization of Integration Health Program (Posbindu) Among Older Adults in Indonesia: A Scoping Review. In Clinical Interventions in Aging (Vol. 19, pp. 1361–1370). Dove Medical Press Ltd. https://doi.org/10.2147/CIA.S462621
Sari, D. W. R., & Savitri, M. (2018). Faktor-Faktor yang Berhubungan dengan Pemanfaatan Posbindu Penyakit Tidak Menular (PTM) di Wilayah Kerja Puskesmas Kecamatan Setiabudi Kota Jakarta Selatan Tahun 2018. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 07(02), 49–56.
Sudharma, N. I., Kusumaratna, R. K., & Meiyanti. (2016). Factors Influence The Utilization Of Community Participation (POSBINDU). OIDA International Journal of Sustainable Development, Ontario International Development, 09(03). http://www.ssrn.com/link/OIDA-Intl-Journal-Sustainable-Dev.html
Supriyatna, E., Pertiwiwati, E., & Setiawan, H. (2020). Program Pos Pembinaan Terapdu Penyakit Tidak Menular di Puskesmas Martapura 2. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 7(1), 1. https://doi.org/10.20527/jpkmi.v7i1.8786
Tanjung, W. W., Harahap, Y. W., & Panggabean, M. S. (2018). Faktor-Faktor yang Mempengaruhi Pemanfaatan Program Pos Pembinaan Terpadu Penyakit Tidak Menular di Wilayah Kerja Puskesmas Batang Toru KabupatenTapanuli Selatan Tahun 2017. Jurnal Kesehatan Ilimiah Indonesia, 3(2), 92–108.
Tesfaye, A., Semrau, M., Ali, O., Kinfe, M., Tamiru, M., Fekadu, A., & Davey, G. (2021). Development of an integrated, holistic care package for people with lymphoedema for use at the level of the Primary Health Care Unit in Ethiopia. PLOS Neglected Tropical Diseases, 15(4), e0009332. https://doi.org/10.1371/journal.pntd.0009332
Van Hout, M.-C., Akugizibwe, M., Shayo, E. H., Namulundu, M., Kasujja, F. X., Namakoola, I., Birungi, J., Okebe, J., Murdoch, J., Mfinanga, S. G., & Jaffar, S. (2024). Decentralising chronic disease management in sub-Saharan Africa: a protocol for the qualitative process evaluation of community-based integrated management of HIV, diabetes and hypertension in Tanzania and Uganda. BMJ Open, 14(3), e078044. https://doi.org/10.1136/bmjopen-2023-078044
Watson, E. D., Moosa, S., Janse Van Rensburg, D. C., Schwellnus, M., Lambert, E. V., & Stoutenberg, M. (2023). Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation? International Journal of Environmental Research and Public Health, 20(17), 6675. https://doi.org/10.3390/ijerph20176675
Yuniarti, A. M., Fardiansyah, A., & Putri, S. W. (2021). Motivasi Dan Dukungan Keluarga Dengan Keaktifan Masyarakat Mengikuti Program Posbindu PTM. Indonesian Journal of Professional Nursing, 2(1), 22. https://doi.org/10.30587/ijpn.v2i1.2954
Zica, M. M., Maciel, E. da S., Quaresma, F. R. P., Barbosa, T. C., Silva, B. K. R., Sousa, L. V. de A., Pontes-Silva, A., & Adami, F. (2023). Physical activity and body composition in a Quilombola community in the Tocantins state (Brazil). Retos, 49, 394–400. https://doi.org/10.47197/retos.v49.95812
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