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Evaluation of Integrated Health Post for NCD in Bantul, Indonesia: An Early Detection Program of Non Communicable Disease
( Asriati Asriati )
UCI I410-ECN-0102-2021-500-000122279
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Objective: Non Communicable Disease (NCD) has increasingly become one of the public health problems in Bantul Districts. Bantul District Health Office (DHO) has implemented Integrated health Post for NCD (NCD-IHP) to detect behavioral risk factors in community. The purpose of this evaluation was to understand the performance of NCD-IHP to detect behavioral risk factor for NCD. Methods: This was descriptive analysis. We reviewed and analyzed data collected by Health Worker at 17 Integrated Health Post for NCD and 17 Public Health Center (PHC) data. Thirty Five health workers were interviewed to collected information on the implementation and management of NCD-IHP. Results: There were 33 NCD-IHP in Bantul. Over 17 PHC, only 64,7% HC have one NCD-IHP in each village as outlined in the national guideline. All cadres of NCD-IHP have been well trained. Early detection tools logistics are not distributed equally. NCD-IHP funding still join other program funds. As many as 95% of NCD-IHP activities are conducted once a month, but only 50% of NCD-IHP activities running independently. Every NCD-IHP activities was directly supervised by Public Health Center. Only 16.7% of Posbindu activities involving cross sector. The cohort data from Posbindu showed that obesity (83%), hypertension (77%), central obesity (57%), physical inactivity (54%), smoking (35%), and hypercholesterolemia (34%) were the most common risk factors found among the NCD-IHP visitors. Early detection service coverage is below the national standard. Conclusion: NCD Early detection services through NCD-IHP has not touched all target populations caused due to deficiency of the aspects of input, process. However, NCD-IHP able to identify risk factors for NCD in their catchment area. Utilization of data collected by NCD-IHP was important to design appropriate intervention strategy. The coverage was low, indicating low participation of community. We recommended District Health Office to strengthen NCD-IHP by providing adequate supportive supervision and necessary support.

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