Factors That Affect Posbindus’ Performance in Dayeuhkolot Kabupaten Bandung

Abstract

Abstract. Integrated Development Post Program (Posbindu) is one of the facilities which provide a service for the elderly. Aside from healthcare, Posbindu also provides social, religion, education, skill, and other services. These services are needed by the elderly that makes Posbindu existence very important. According to the early researches conducted by the researcher in December 2013 at Posbindu's Desa Dayeuhkolot, the implementations of Posbindu's over there were still lacking. This study aimed to explore some issues of Posbindu programs in Desa Dayeuhkolot comprehensively. The research design used in this research was Qualitative method approach by using case study. This research was conducted from February 2014 to January 2015 in 5 Posbindu. The findings showed that the programs of Posbindu in Desa Dayeuhkolot Kabupaten Bandung still face some problems, they were: 1) Posbindu was not found based on people needs; 2) the lack of budget; 3) the lack of quality and quantity of guidance; 4) the lack of cadres' knowledge and skills; 5) there was no incentive for cadres; 6) the lack of facilities and infrastructures; 7) the lack of emotional and physical test; 8) the lack of quality and quantity of health training program; 8) the lack of quality and quantity of health counselling ; 9) there was no access for medicine; 10) the complicated system of documentation and report ; 11) there was no elderly exercise in some posbindus; 12) the lack of effectiveness in elderly visitation program;13) the low frequency of elderly visitation; 14) the lack of posbindu contribution to the elderly; 15) the lack of support from the environment. Posbindu's revitalization was one of the interventions to solve the health problem caused by demographic changing.

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

“…The activities for Posyandu Lansia will be further enhanced [29] so that middle-aged and older women in Indonesia can maintain and promote appropriate health behaviors to prevent NCDs. Opportunities that can allow these women to determine their unhealthy habits, recognize the necessity of lifestyle modification, and learn more practical programs, such as physical exercise and health education for nutrition, are needed.…”

“…This instrument was composed of 25 items, with scores ranging from 0 to 50. Items related to lifestyle were rated as follows: in control (42-50), on the right track (35-41), fair (30)(31)(32)(33)(34), somewhat low (20)(21)(22)(23)(24)(25)(26)(27)(28)(29), and in the danger zone (0-19). Three of the items in the scale were used to assess the participant's understanding of NCDs terms, such as lifestyle-related disease, menopause, and sarcopenia.…”

“…The scale is composed of 6 items that assess social isolation, with scores ranging from 0 to 30. The scores were divided into two levels: isolated (0-12) and not isolated (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). The household decision-making scale, which includes three items, was developed by Leon et al [17].…”

Elderly’s Expectations of Services in Integrated Health Post (Posbindu): A Qualitative Study

“…Many factors are suspected to cause this situation, including inadequate knowledge of the elderly and the cadres; inadequate health services provided at the posbindu; lack of health provider and family support; distance between the houses of the elderly to the posbindu; low frequency of counselling; and an unsympathetic services. 6,7 A study on the expectation of the elderly towards health services in the Posbindu has not been carried out. Expectation is a potential predictor for satisfaction, meaning that if the elderly are satisfied with the health services provided in the posbindu, they will visit the posbindu regularly.…”