Participation in community-based health care interventions (CBHIs) and its association with hypertension awareness, control and treatment in Indonesia

Abstract

Background Little attention has been paid to whether CBHIs improve awareness, treatment and control of hypertension in the contexts of low- and middle- income countries (LMICs). This study therefore aims to examine participation in CBHIs for non-communicable diseases (NCDs) and its association with awareness, treatment, and control of hypertension among Indonesians. Methods This study used data from the 2014 Indonesia Family Life Survey (IFLS), drawn from 30,351 respondents aged 18 years and older. Participation in CBHIs was measured by respondents’ participation in CBHIs for NCDs (Posbindu PTM and Posbindu Lansia) during the 12 months prior to the survey. Logistic regressions were used to identify the relationships between participation in CBHIs for NCDs and awareness, treatment, and control of blood pressure among respondents with hypertension. Results The age-adjusted prevalence of hypertension was 31.2% and 29.2% in urban and rural areas, respectively. The overall age-adjusted prevalence was 30.2%. Approximately 41.8% of respondents with hypertension were aware of their condition, and only 6.6% of respondents were receiving treatment. Participation in CBHIs for NCDs was associated with 50% higher odds of being aware and 118% higher odds of receiving treatment among adults with hypertension. There was no significant association between participation in CBHIs for NCDs and controlled hypertension. Conclusion Our data emphasise the importance of CBHIs for NCDs to improve the awareness and treatment of hypertension in the Indonesian population.

A Cross-Sectional Study of Knowledge, Attitudes, and Practices concerning COVID-19 Outbreaks in the General Population in Malang District, Indonesia

“…In this study, these benefits were shown by the positive relationship between knowledge, attitude, and practices and being informed about COVID-19 by these workers. Our findings support previous studies in India, Botswana, Brazil, and Indonesia that highlight community health workers as the backbone of these countries’ healthcare systems [ 62 , 63 , 64 , 65 ]. While these studies reported on the benefits of community health workers for various health services during typical times, our study demonstrates that community health workers also play a pivotal role in fighting the pandemic in Indonesia [ 62 , 63 , 64 , 65 ].…”

Evaluation of hypertension screening guidelines implementation at the public health centers in Tabanan District, Bali, Indonesia

“…Two studies evaluating participation in prolanis and posbindu reported that community participation in these two activities was still very low, reducing their effectiveness. 6, 24 These results were similar to the one reported by the informant at Puskesmas Kediri I.…”

Health Citizenship and Healthcare Access in Indonesia, 1945-2020

“…In the Soeharto era, the public was used as a health development object via an authoritarian approach (Rifkin, 1986), and in the democratization era, the public was treated as a political commodity (Aspinall, 2014). Public participation mainly operated as a top-down agenda and articulated as passive participation (Sujarwoto & Maharani, 2021). Health accessibility is loosely mentioned as unfinished health citizenship because of its partial application.…”

“…T h e I n d o n e s i a n g o v e r n m e n t ' s management of participation in healthcare provision has not adapted well yet. Participation is only viewed as people's acceptance and involvement in the government health program (Sujarwoto & Maharani, 2021). Health cadres have become more advanced evidence that some degree of participation is applied in healthcare provision (Irawan, Koesoema, Soegijoko, Riyani, & Utama, 2018).…”