Exploring the implementation of<i>poslansia,</i> Indonesia's community-based health programme for older people

Christiani, Yodi; Byles, Julie; Tavener, Meredith; Dugdale, Paul

doi:10.1111/ajag.12305

Cited by 14 publications

(13 citation statements)

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“…Currently, there are fewer HCPs working in rural areas compared to urban centres. Moreover, given the geographical distance of the rural service centres from the cities, laywomen as well as Kader provide services with little supervision or input from professionals [29]. Consequently, care tends to be suboptimal and largely focused on just providing medication; little attention is given to prevention and health promotion [29].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, given the geographical distance of the rural service centres from the cities, laywomen as well as Kader provide services with little supervision or input from professionals [29]. Consequently, care tends to be suboptimal and largely focused on just providing medication; little attention is given to prevention and health promotion [29]. Therefore, more education, training, and supervision of laywomen and Kader are needed to improve the quality of service delivered in smaller, rural communities [29].…”

Section: Discussionmentioning

confidence: 99%

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Self-Care Experiences of Adults with Chronic Disease in Indonesia: An Integrative Review

Lukman

Leibing

Merry

2020

International Journal of Chronic Diseases

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We conducted a literature review to document what is known regarding the self-care experiences and various influencing factors among adults living with chronic disease in Indonesia, from the perspective of those living with the illness. We searched CINAHL and Google Scholar to identify peer-reviewed research focused on men and/or women living with a chronic disease (the most prevalent) in urban or rural settings in Indonesia. Using a “Self-Care of Chronic Illness” framework as a guide, information on self-care experiences and how various factors influence these experiences, was extracted and synthesized. Nine studies were included (3 quantitative; 6 qualitative). Self-care involves maintaining well-being through different strategies (e.g., foot hygiene, seeking information/care, praying, diet, resting, and simplifying life), following prescribed treatments, and using traditional remedies. Religion sometimes serves as a means for taking care of one’s health (e.g., prayer), or as a source of motivation to self-care, while in other instances, it results in a fatalistic attitude. Which treatments (conventional versus traditional) are sought, it is affected by an understanding of the disease and treatments, which is shaped by beliefs, values, emotions, health literacy, and SES. The literature shows that family, especially women, has a key role in providing support. Community organizations also play an important supportive role, particularly for patients in rural areas. Significant barriers to healthcare include costs and care not being well-adapted to the psychosocial needs and contexts of patients. The literature highlights a disconnection between the self-care experiences and how healthcare and support are delivered. To better support self-care, healthcare professionals should use a personalized approach; however, more research is needed to gain a better understanding of what patients want and expect regarding how religion, beliefs, life circumstances, and the use of alternative therapies should be addressed within the patient-professional dynamic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self-Care Experiences of Adults with Chronic Disease in Indonesia: An Integrative Review

Lukman

Leibing

Merry

2020

International Journal of Chronic Diseases

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“…It is possible that the insufficient financial resources for posyandu was the bottleneck leading to other problems faced by posyandu, such as problems in medicine, equipment supplies, lack of CHW's capacity (related to inadequate training), and infrastructure. The problems found to be similar with posyandu's for other health program, and may, in turn, lead to ineffective program's implementation (Christiani, Byles, Tavener, & Dugdale, 2016).…”

Section: Discussionmentioning

confidence: 70%

Integrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory Study

Setiawan

Christiani²

2018

Jurnal Keperawatan Indonesia

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Integrated Health Post for Child Health (Posyandu) has been endorsed since 1984 as a community-based health program in Indonesia. Despite its potential in improving child health outcomes, evidence related to its current implementation is lacking. This study aimed to explore the current implementation of posyandu in the country. Data of 638 posyandu surveyed in the 5th wave of Indonesia Family Life Survey (IFLS-5) located in urban and rural areas were analyzed, applying chi-square and independent t-test method. Posyandu surveyed run a number of activities (mean type of activities=8.1 in rural vs. 7.4 in urban areas, p<0.001), focusing on weight monitoring, supplementary food provision, and vitamin A supplementation. Approximately 38% of Community Health Workers (CHWs) has never been trained in posyandu’s management nor child health care. Financial barriers, medicine and equipment supplies, and location to conduct posyandu’s activities remained as challenges in the implementation. While posyandu has been implemented for decades, the study found that its implementation has not been optimal. Actions should be taken to improve posyandu’s implementation. These include strengthening collaboration to address the problems and improving CHWs activities. Keywords: posyandu, child health, community-based health program

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“…The Indonesian Ministry of Health has developed NCDs control programs and launched several community health centers (Puskesmas) and health village posts for older adults (Posyandu Lansia) in the mid-2000s. Current activities at Posyandu Lansia are mostly focused on disease and risk factor screening, such as blood pressure (BP) or body weight measurement, while a few also implement activities related to disease prevention, health promotion, and social engagement [9]. Many studies have reported the rapid increase of NCDs, but there has been only a little research on how the community may be involved in the successful management of NCDs [10].…”

Section: Introductionmentioning

confidence: 99%

Behaviors toward Noncommunicable Diseases Prevention and Their Relationship with Physical Health Status among Community-dwelling, Middle-aged and Older Women in Indonesia

Yamada

Hapsari

Matsuo

2020

IJERPH

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We aim to clarify the behaviors toward noncommunicable diseases (NCDs) prevention focusing on lifestyle-related diseases and physical health status and examine their relationship among community-dwelling women in Indonesia. This cross-sectional study included women aged 45 years and older. Data were collected through an interview using a structured questionnaire; the following parameters were also measured: height, weight, body mass index (BMI), blood pressure (BP), handgrip strength, and 10 m gait speed. This study found that the majority of women adopted one or more healthy behaviors to prevent NCDs, while few women practiced comprehensive behaviors. Age, satisfaction with house income, living alone, social support, social participation, and household decision making were the determinant factors for behaviors toward NCDs prevention. A high prevalence of underweight (26.4%), overweight (31.9%), obesity (5.6%), high systolic blood pressure (SBP) (62.5%), and low muscle strength (54.2%) were frequently observed. Eating well-balanced meals, avoiding fatty foods, and undergoing blood cholesterol testing had significant correlations with physical health status. It is concluded that the activities at Posyandu Lansia (health village posts for older adults) are necessary to help women with unhealthy eating behaviors and lower physical activity and unawareness of health checkups to maintain focus and to develop a more practical approach to NCDs prevention.

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Exploring the implementation ofposlansia, Indonesia's community-based health programme for older people

Abstract: The findings indicate existing support from the community, community health centres and related institutions for poslansia is not adequate for optimal service function. Health awareness among the older population should also be increased for programme sustainability.

Cited by 14 publications

References 13 publications

Self-Care Experiences of Adults with Chronic Disease in Indonesia: An Integrative Review

Self-Care Experiences of Adults with Chronic Disease in Indonesia: An Integrative Review

Integrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory Study

Behaviors toward Noncommunicable Diseases Prevention and Their Relationship with Physical Health Status among Community-dwelling, Middle-aged and Older Women in Indonesia

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