Implementation Of Hypertension Disease Management Through Posbindu PTM At The Hamparan Perak Health Center, Deli Serdang Regency
Implementation of Hypertension Disease Management through Posbindu PTM at the Hamparan Perak Health Center, Deli Serdang Regency
Introduction
Non-communicable diseases, such as hypertension, have become a growing concern in Indonesia. Hypertension often goes undetected until it reaches an advanced stage, making it difficult to manage and potentially resulting in disability or death. In 2018, there were 7,107 cases of hypertension in Medan, and without proper control, this number is predicted to continue to increase. This study aims to explore the implementation of the Hypertension Management Program through Posbindu Non-Communicable Diseases (PTM) at the Hamparan Perak Health Center, Deli Serdang Regency.
Background
Hypertension is a major public health concern in Indonesia, and its prevalence is increasing rapidly. According to the World Health Organization (WHO), hypertension is a leading cause of death and disability worldwide. In Indonesia, hypertension is often not detected until it reaches an advanced stage, making it difficult to manage and potentially resulting in disability or death. The Ministry of Health has implemented various programs to control hypertension, including the Posbindu PTM program. However, the effectiveness of this program is still a concern.
Challenges in Program Implementation
The results of this study showed a number of challenges in the implementation of hypertensive control programs. First, the main problem is the lack of adequate human resources, facilities or infrastructure, as well as sufficient funding. This program follows the guidelines issued by the Ministry of Health, but the percentage of hypertensive patients' visits has not yet reached the expected target. This shows that there is a gap between plans and reality in the field.
PTM posbindu facilities and infrastructure are also still considered inadequate. One example is the absence of a participant monitoring book that functions to record the development of participants during the program. As an alternative, the recording is carried out in the Posbindu visit book, but this is not as effective as compared to the specially designed monitoring system.
Human Resources and Infrastructure
The lack of adequate human resources and infrastructure is a major challenge in the implementation of the Posbindu PTM program. Health workers are the backbone of this program, and their capacity and skills are essential for its success. However, the study found that health workers in the Hamparan Perak Health Center lack the necessary training and skills to run hypertension prevention programs effectively.
The infrastructure of the Posbindu PTM program is also inadequate. The facilities and equipment are not sufficient to support the program, and the absence of a participant monitoring book is a major concern. This makes it difficult to track the progress of participants and evaluate the effectiveness of the program.
Solutions and Recommendations
In order to improve the efficiency of this program, it is necessary to take a number of improvements. One of them is a better budgeting than the sub-district for the procurement of infrastructure needed for Posbindu PTM. With the availability of adequate facilities, the early detection program for non-communicable disease risk factors can be implemented optimally.
In addition, training for health workers is also very necessary so that they are able to run hypertension prevention programs well. Strengthening the capacity of human resources will contribute to the effectiveness of the program and can increase the number of patient visits.
Training and Capacity Building
Training and capacity building are essential for the success of the Posbindu PTM program. Health workers need to be equipped with the necessary skills and knowledge to run hypertension prevention programs effectively. This includes training on hypertension management, risk factor assessment, and patient education.
The study recommends that the government and health authorities provide training and capacity building programs for health workers. This can be done through workshops, seminars, and on-the-job training. The training should focus on hypertension management, risk factor assessment, and patient education.
Conclusion
Implementation of hypertension control through Posbindu PTM at the Hamparan Perak Health Center still faces various challenges. However, with the support of the government and improving infrastructure and human resources, it is hoped that this program can run more effectively. Completion of non-communicable diseases must be a priority so that the prevalence of hypertension can be reduced and the community can live healthier. This program is not only a matter of early detection, but also about building awareness and community involvement in maintaining their health.
Recommendations
Based on the findings of this study, the following recommendations are made:
- The government and health authorities should provide better budgeting for the procurement of infrastructure needed for Posbindu PTM.
- Training and capacity building programs should be provided for health workers to equip them with the necessary skills and knowledge to run hypertension prevention programs effectively.
- The infrastructure of the Posbindu PTM program should be improved to support the program.
- The participant monitoring book should be designed and implemented to track the progress of participants and evaluate the effectiveness of the program.
Limitations of the Study
This study has several limitations. First, the study was conducted in a single health center, which may not be representative of other health centers in the region. Second, the study relied on secondary data, which may not be accurate or up-to-date. Third, the study did not conduct a comprehensive analysis of the program's effectiveness.
Future Research Directions
Future research should focus on evaluating the effectiveness of the Posbindu PTM program in reducing the prevalence of hypertension. This can be done through a comprehensive analysis of the program's outcomes, including patient outcomes, health worker outcomes, and program outcomes. Additionally, future research should explore the impact of the program on community awareness and involvement in maintaining their health.
References
- World Health Organization. (2019). Hypertension.
- Ministry of Health. (2018). Posbindu Non-Communicable Diseases (PTM) Program.
- Hamparan Perak Health Center. (2020). Annual Report.
- Deli Serdang Regency. (2020). Annual Report.
Appendix
The appendix includes additional information that is not included in the main body of the report. This includes:
- List of abbreviations used in the report.
- List of acronyms used in the report.
- List of references cited in the report.
- Additional tables and figures that support the findings of the report.
Frequently Asked Questions (FAQs) about the Implementation of Hypertension Disease Management through Posbindu PTM at the Hamparan Perak Health Center, Deli Serdang Regency
Q: What is the Posbindu PTM program?
A: The Posbindu PTM program is a non-communicable disease management program implemented by the Ministry of Health in Indonesia. The program aims to prevent and control non-communicable diseases, including hypertension, through early detection and management.
Q: What is the goal of the Posbindu PTM program at the Hamparan Perak Health Center?
A: The goal of the Posbindu PTM program at the Hamparan Perak Health Center is to reduce the prevalence of hypertension among the community through early detection and management.
Q: What are the challenges faced by the Posbindu PTM program at the Hamparan Perak Health Center?
A: The Posbindu PTM program at the Hamparan Perak Health Center faces several challenges, including the lack of adequate human resources, facilities, and infrastructure, as well as insufficient funding.
Q: What is the role of health workers in the Posbindu PTM program?
A: Health workers play a crucial role in the Posbindu PTM program. They are responsible for conducting risk factor assessments, providing patient education, and managing hypertension cases.
Q: What is the importance of training and capacity building for health workers in the Posbindu PTM program?
A: Training and capacity building are essential for health workers in the Posbindu PTM program. They need to be equipped with the necessary skills and knowledge to run hypertension prevention programs effectively.
Q: What are the benefits of the Posbindu PTM program for the community?
A: The Posbindu PTM program has several benefits for the community, including early detection and management of hypertension, improved health outcomes, and increased awareness about non-communicable diseases.
Q: How can the community get involved in the Posbindu PTM program?
A: The community can get involved in the Posbindu PTM program by participating in health education sessions, attending health check-ups, and reporting any symptoms or concerns to health workers.
Q: What is the future of the Posbindu PTM program at the Hamparan Perak Health Center?
A: The future of the Posbindu PTM program at the Hamparan Perak Health Center is promising, with plans to improve infrastructure, increase funding, and enhance training and capacity building for health workers.
Q: How can the community support the Posbindu PTM program?
A: The community can support the Posbindu PTM program by providing feedback, participating in health education sessions, and advocating for increased funding and resources.
Q: What are the next steps for the Posbindu PTM program at the Hamparan Perak Health Center?
A: The next steps for the Posbindu PTM program at the Hamparan Perak Health Center include improving infrastructure, increasing funding, and enhancing training and capacity building for health workers.
Q: How can the community access the Posbindu PTM program?
A: The community can access the Posbindu PTM program by visiting the Hamparan Perak Health Center, contacting health workers, or participating in health education sessions.
Q: What are the benefits of the Posbindu PTM program for health workers?
A: The Posbindu PTM program has several benefits for health workers, including improved skills and knowledge, increased confidence, and enhanced job satisfaction.
Q: How can health workers get involved in the Posbindu PTM program?
A: Health workers can get involved in the Posbindu PTM program by participating in training and capacity building sessions, attending health education sessions, and reporting any concerns or suggestions to health authorities.
Q: What is the role of the government in supporting the Posbindu PTM program?
A: The government plays a crucial role in supporting the Posbindu PTM program by providing funding, resources, and infrastructure, as well as advocating for increased awareness and participation.
Q: How can the community advocate for increased funding and resources for the Posbindu PTM program?
A: The community can advocate for increased funding and resources for the Posbindu PTM program by contacting health authorities, participating in health education sessions, and reporting any concerns or suggestions to health workers.
Q: What are the next steps for the Posbindu PTM program in Indonesia?
A: The next steps for the Posbindu PTM program in Indonesia include scaling up the program, increasing funding and resources, and enhancing training and capacity building for health workers.
Q: How can the community get involved in the scaling up of the Posbindu PTM program?
A: The community can get involved in the scaling up of the Posbindu PTM program by participating in health education sessions, attending health check-ups, and reporting any symptoms or concerns to health workers.
Q: What are the benefits of the Posbindu PTM program for the country?
A: The Posbindu PTM program has several benefits for the country, including improved health outcomes, increased awareness about non-communicable diseases, and enhanced job satisfaction for health workers.
Q: How can the country support the Posbindu PTM program?
A: The country can support the Posbindu PTM program by providing funding, resources, and infrastructure, as well as advocating for increased awareness and participation.
Q: What is the future of the Posbindu PTM program in Indonesia?
A: The future of the Posbindu PTM program in Indonesia is promising, with plans to scale up the program, increase funding and resources, and enhance training and capacity building for health workers.