Factors Influence the Utilization of Community Participation (POSBINDU)

Sudharma, Novia Indriani, Kusumaratna, Rina K. and Meiyanti, Meiyanti (2016) Factors Influence the Utilization of Community Participation (POSBINDU). OIDA International Journal of Sustainable Development, 9 (3). pp. 77-88. ISSN 1923-6662

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Introduction: Posbindu is a form of public participation to conduct early detection and monitoring of risk factors for non-communicable diseases (NCD), and where it was carried out in as an integrated-manner, routine and periodic event. Posbindu itself aimed to promotethe community participation in prevention and early detection of risk factors for non-communicable disease (NCD). Non-communicable diseases is the biggest killer in the world,causing approximately 60% of global deaths. More than 9 millions of all deaths related to NCD occurredunder the age 60 years old, and 90% premature deaths incidenceoccurs incountries where significant number of population were low income-population. In Indonesia, death related to NCD are growing in an alarming rate, from aproximately 41% at the year 1995, striking 59,5% at year 2007. According to Basic Health Survey of 2007, NCD related deaths ranked number 6 in a top ten Death list.The growing rate of NCD prevalence are to become a serious threat upon national Development, death risk from disease related conditon will negatively impact human resources nationwide, which the effect will surely not limited to health aspect only but expanded to economic aspect.Meanwhile, Posbindu program had not reach its popularity as it should have been. In some region, posbindu visits by locals has decreased. At the study area, existing data showed that, only as much as 10% of the local population was using Posbindu service. In many regions, Posbindu were deemed to merge with geriatric social health care, as the major user was the geriatric population. Objective: to determine the factors that influence utilization of posbindu. Methods: This study was a cross-sectional study of 120 people in productive age (aged between 18-59 years) including individuals who nevervisit posbindu. In this study there were 3 groups of factors that can affect utilization of posbindu, the predisposing factors (age,sex,education level,occupation, knowledge from cader counsels,understanding about posbindu, awarrness, distance to posbindu, administration fee), and the reinforcing factors (family support, socialization of posbindu). Data were collected from February 2015 through to March 2015 Results: Respondents who do not utilize posbindu service are as many as 25% while 75% of respondents utilize posbindu. At bivariate analysis, we found several significant relationship between independent variable and utilization of posbindu : age (OR=3.46 ; 95% Confidence interval 0.96-12.43), education level (OR=0.17 ; 95% Confidence interval 0.03-0.772), knowledge (OR=3.82 ; 95% Confidence interval 1.60-9.09), awareness (OR=3.76 ; 95% Confidence interval 1.44-9.82), family support (OR=1.84 ; 95% Confidence interval 0.79-4.27), significant relationship between socialization of posbindu and utilization of posbindu (p=0.000), and also administration fee (OR=4.57 ; 95% Confidence interval 1.88-11.06). Multivariate analysis shows that respondent with higher education tend not to utilize posbindu service (OR=0.17 ; 95% Confidence interval 0.03-0.89), and those who did not mind for administration fee have the greater possibility to utilize posbindu service (OR=3.79 ; 95% Confidence interval 01.33-10.80). Conclusion: Several factors were conceived as aspects that affected the utilization of the Posbindu, but the level of education and administration fee are more prominent. Necessary efforts need to be conducted for people in productive age to promote their health, especially in community participation.

Item Type: Article
Uncontrolled Keywords: community participation, non-communicable diseases, Posbindu, productive age, utilization
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Undergraduate Program in Medicine
Depositing User: FK Usakti
Date Deposited: 31 Oct 2017 02:11
Last Modified: 31 Oct 2017 02:11
URI: http://libprint.trisakti.ac.id/id/eprint/364

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