ObjectivesTo assess the implementation and contextual barriers of POSBINDU, a community-based activity focusing on screening of non-communicable diseases (NCDs), mainly hypertension and diabetes, in Indonesia.DesignThis was a concurrent mixed-methods study, with a cross-sectional analysis of secondary data and focus group discussions (FGDs) on stakeholder of POSBINDU.SettingThe study was conducted in seven districts in three provinces in Indonesia, with approximately 50% of the primary healthcare (PHC) were selected as areas for data collection (n PHC=100).ParticipantsFrom 475 POSBINDU sites, we collected secondary data from 54 224 participants. For the qualitative approach, 21 FGDs and 2 in-depth interviews were held among a total of 223 informants.Primary outcomes and measuresProportion of POSBINDU visitors getting the hypertension screening and risk factors’ assessment, and barriers of POSBINDU implementation.ResultsOut of the 114 581 POSBINDU visits by 54 224 participants, most (80%) were women and adults over 50 years old (50%) showing a suboptimal coverage of men and younger adults. Approximately 95.1% of visitors got their blood pressure measured during their first visit; 35.3% of whom had elevated blood pressure. Less than 25% of the visitors reported to be interviewed for NCDs risk factors during their first visit, less than 80% had anthropometric measurements and less than 15% had blood cholesterol examinations. We revealed lack of resources and limited time to perform the complexities of activities and reporting as main barrier for effective hypertension screening in Indonesia.ConclusionsThis study showed missed opportunities in hypertension risk factors screening in Indonesia. The barriers include a lack of access and implementation barriers (capability, resources and protocols).

Beberapa faktor terkait dengan infeksi saluran napas atas (ISPA) antara lain lantai rumah. Tujuan penelitian adalah untuk mengetahui dampak program kesehatan keluarga dan gizi (KKG) dan beberapa faktor risiko yang lain yang berkaitan dengan ISPA. Data berasal dari survey yang dilakukan di 5 provinsi di Indonesia, pada projek KKG pada tahun 2003. Subjek terdiri dari 1.500 keluarga yang dipilih dengan cara stratifikasi random. Interview dan observasi ke rumah subjek dilakukan oleh petugas yang terlatih khusus untuk penelitian ini. Lantai rumah yang berupa bukan tanah yang dibuat sebelum projek KKG menurunkan risiko ISPA sebesar 51% dibandingkan dengan rumah yang berlantai tanah [Rasio Odds (OR) = 0.49; 95% interval kepercayaan (CI) = 0,25-0,96]. Risiko ISPA berkurang 52% di antara mereka yang menerima bantuan dibandingkan dengan yang tidak menerima stimulan kesehatan lingkungan projek KKG (OR = 0.48; 95% CI =0.33-0.70). Disimpulkan bahwa untuk menurunkan risiko ISPA, program stimulan kesehatan lingkungan dapat dilanjutkan.

Tuberculosis (TB) infection in Indonesia has not been completely eradicated. It is challenging for those who suffer from TB to be away from self-stigma. This study aimed to determine the relationship between age factors, gender, and a history of comorbid diseases related to self-stigma. This was a cross sectional study using a Tuberculosis Stigma Assessment questionnaire. Total 50 respondents were obtained by purposive sampling technique. Inclusion criteria are TB patients or former patients aged 18 years to the elderly, male and female, without or having a history of comorbidities (HIV & DM). Quantitative-qualitative analysis, univariate and bivariate tests using Pearson Correlation and Chi Square were employed. Based on the Pearson correlation test there were no relationships between age and stigma, adolescent (p = 0.506), adult (p = 0.732), and elderly (p = 0.539),. Through Chi Square test, there was no relationship between the gender and stigma (p=0.520) . Likewise, a history of comorbid disease with TB stigma which p-value 0.537 did not show any relationship. Quantitatively, 78% of respondents were stigmatized, where respondents tend to be shy and not open about their TB status. There were 78% of respondents were stigmatized but no significant relationships between age, gender, and history of comorbid diseases on TB self-stigma

Currently stroke is a major health problem in the world including in Indonesia. The prevalence of stroke in various regions in Indonesia varies. Several factors are thought to play a role in this variation, including risk factors for hypertension, prevalence of hypertension and prevalence of diabetes mellitus. This study aims to analyze the relationship between the risk factors for hypertension (smoking, physical activity and salt consumption), the prevalence of hypertension and the prevalence of diabetes mellitus with differences in the prevalence of stroke in various provinces in Indonesia. This study used an analytic observational design with an ecological study approach. Data were obtained from 440 districts and 33 provinces in Indonesia. taken in a probability proportional to size. The samples were men and women aged 18 years and over. The independent variable was the prevalence of stroke, while the dependent variable was the risk factors for hypertension (smoking, physical activity and consumption of vegetables and fruits), the prevalence of hypertension and the prevalence of diabetes mellitus. The diagnosis of hypertension, diabetes mellitus and stroke are made by a doctor. The data obtained were analyzed using multiple linear regression analysis. The prevalence of hypertension was a factor associated with the prevalence of stroke (b = 0.811; 95% CI = 0.320-1.302; p = 0.002). R2 of the multiple linear regression model = 62%, and overall, the model is significantly different (p = 0.002). The difference in stroke prevalence is related to hypertension prevalence.

<p><strong>Pendahuluan:</strong> Kader yang merupakan tangan panjang dari Puskesmas memiliki peranan yang penting dalam bidang kesehatan, karena memiliki fungsi strategis dalam menangani masalah kesehatan perseorangan maupun masyarakat. Setiap bulan kader melaksanakan kegiatan layanan pemeriksaan di posyandu lansia dan balita serta posbindu dengan supervisi bidan pembina wilayah serta dibawah tanggungjawab Puskesmas. Puskesmas Gondangrejo terdapat di Kabupaten karanganyar yang memiliki 93 buah posyandu dengan 240 kadernya yang tersebar di seluruh wilayah kecamatan. Hampir 100% kader merangkap sebagai kader posyandu lansia maupun balita serta posbindu. Oleh karena itu kemampuan dan ketrampilan kader perlu selalu ditingkatkan melalui pelatihan untuk meningkatkan kualitas layanan kesehatan. Pengabdian ini bertujuan untuk memberikan pelatihan kader posyandu dan posbindu di wilayah Puskesmas Gondangrejo Karanganyar.</p><p><strong>Metode :</strong> Pengabdian dilakukan dengan memberikan pelatihan kader tentang antropometri kepada kader baik untuk dewasa, lansia dan bayi (materi dan praktik), pelatihan juga diisi motivasi sebagai kader kesehatan melalui kegiatan <em>ice breaking</em> dilanjutkan dengan analisis hasil secara diskriptif, selain itu dilakukan evaluasi keberhasilan program pengabdian. Pengabdian dilaksanakan di Puskesmas Gondangrejo pada bulan februari 2020 dengan subyek kader kesehatan.</p><p><strong>Hasil dan Pembahasan : </strong>Pengabdian dilaksanakan dengan baik dan  mendapat dukungan penuh oleh kepala puskesmas. Puskesmas mendapatkan manfaat  dengan meningkatnya pengetahuan dan ketrampilan kader, sehingga meningkatkan performa dari kader. Pengabdian ini juga memberikan sumbangsih besar dalam peningkatan motivasi kader. Antusiasme kader kesehatan terlihat dari disiplinnya kader yang mengikuti program juga keaktifan dalam diskusi. Pemahaman materi mengalami peningkatan dilihat dari nilai rata-rata nilai postest yang meningkat 27%. Motivasi kader meningkat menjadi 100% dengan peningkatan ketrampilan sebesar 98% dan kader merasakan kebermanfaatan  sebanyak 100% dari pengabdian ini.<strong></strong></p><p><strong>Kesimpulan :</strong>Pengabdian ini memberikan sumbangsih  bagi peningkatan performa kader posyandu dan posbindu di wilayah puskesmas gondangrejo Karanganyar.</p><p><strong> </strong></p><p><strong>Kata kunci:  Pelatihan; Kader; Performa; Puskesmas.</strong></p>