Problems in Performance of Integrated Post for Noncommunicable Diseases Program in Gunungkidul District, Yogyakarta Province - Indonesia, 2015

  • Public health surveillance
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Background:
Increasing number of people with NCDs in Indonesia encourages Ministry of Health to establish Integrated Post for NCDs (Posbindu) program. Posbindu is a community-based intervention to control NCD risk factors managed by Primary Health Center (PHC). In Gunungkidul district, initiation of Posbindu program was started in 2012, but the quality of Posbindu has never been evaluated. This study was to evaluate the Posbindu program in Gunungkidul district 2015.

Methods:
This was a descriptive study. We evaluated input, process, output and outcome of Posbindu program according to Ministry of Health guidelines for Posbindu. Participants were one officer of District Health Office (DHO) and 30 officers of Primary Health Centers. We used standard questionnaire and observational checklist to collect the data.

Results:
Evaluation result showed that for input, availability of technical facilities was the main problem. There was 57% Posbindu that still used measurement and examination equipment by turns and about 80% Posbindu lacked of monitoring card and promotion media. For process, Posbindu should be held regularly once a month, but only 61% Posbindu were run as it should be. Posbindu activity should be reported online using Posbindu online portal but there were only 33% PHC that submitted the report. Posbindu output showed that smoking, obesity, hypertension, pulmonary dysfunction, hyperglycemia and hypercholesterolemia was high. Outcome data was unavailable.

Conclusion:
Implementation of Posbinduprogramin Gunungkidulis still experiencing problems in all aspects (input, process and output, and outcome). Some improvements were needed. We recommend the DHO to support the technical facilities and strengthen monitoring of online reporting for better performance of Posbindu program in the future.

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