Complete necessary facilities and infrastructure

Oct 13, 2025 by wbrum.org 44 views

Introduction

Non-communicable diseases (PTM) are a significant health concern worldwide, including in Indonesia. According to the Sample Registration Survey (SRS) conducted by the Research and Development Agency in 2014, the top ten causes of death in Indonesia were brain vessel diseases, ischemic heart disease, Diabetes Mellitus, hypertension with complications, chronic lower airways, liver disease, transportation accidents, pneumonia, and diarrhea. These diseases are characterized by their slow development and non-transmissible nature, making them a pressing health issue that requires immediate attention.

Background

The PTM Posbindu program is a community-based health program aimed at preventing and managing non-communicable diseases. The program involves the participation of community cadres, who are trained to provide health education and support to their peers. The program's primary goal is to improve the health and well-being of the community by promoting healthy behaviors and providing access to healthcare services.

Methodology

This study aimed to evaluate the implementation of the PTM Posbindu program in the working area of the Matsum City Health Center in 2018. The study employed a qualitative approach, using observation and in-depth interviews with seven informants, including the head of the Puskesmas, two Puskesmas officers, two Posbindu cadres, and two Posbindu participants.

Results

The results of this study highlighted several obstacles in the implementation of the PTM Posbindu program. Firstly, the program faced a shortage of implementing staff, as well as limited facilities and infrastructure. The operational funds available were also very limited, coming from the BOK Puskesmas funds. Secondly, not all activities in the Posbindu program could be carried out optimally due to the lack of special training for Posbindu cadres. This had a significant impact on the effectiveness of the program. Thirdly, the low enthusiasm of the community to participate in Posbindu activities was a challenge that needed to be overcome.

Discussion

The results of this study suggest that the implementation of the PTM Posbindu program in the working area of the Matsum City Health Center has not been maximized. The program's limitations, including the shortage of staff, limited facilities, and lack of training for cadres, have hindered its effectiveness. Furthermore, the low enthusiasm of the community to participate in Posbindu activities has made it challenging to achieve the program's goals.

Conclusion

In conclusion, the implementation of the PTM Posbindu program in the working area of the Matsum City Health Center has been hindered by several obstacles. To overcome these challenges, the attention of the Medan City Health Office is needed to complete the necessary facilities and infrastructure and provide routine training for cadres. Good cooperation and coordination with various parties are also necessary to improve the quality and quantity of Posbindu activities, so that the community is more educated about the importance of PTM prevention.

Recommendations

Based on the findings of this study, the following recommendations are made:

Complete necessary facilities and infrastructure: The Medan City Health Office should prioritize the completion of necessary facilities and infrastructure to support the implementation of the PTM Posbindu program.
Provide routine training for cadres: Routine training for Posbindu cadres is essential to ensure that they have the necessary skills and knowledge to effectively implement the program.
Improve community participation: Efforts should be made to improve community participation in Posbindu activities, including through the use of community-based health education and outreach programs.
Enhance collaboration with various parties: Good cooperation and coordination with various parties, including healthcare providers, community leaders, and other stakeholders, are necessary to improve the quality and quantity of Posbindu activities.

Future Directions

The sustainability and improvement of the PTM Posbindu program are crucial to reducing mortality due to non-communicable diseases and improving overall public health. To achieve this, the program should be continuously evaluated and improved, with a focus on addressing the challenges and limitations identified in this study. With good strategic steps and collaboration, it is hoped that this program can have a positive impact on public health in the Matsum City Health Center and surrounding areas.

Limitations

This study had several limitations, including the small sample size and the use of a qualitative approach. Future studies should aim to address these limitations by using a larger sample size and a mixed-methods approach.

Conclusion

Q: What is the purpose of the PTM Posbindu program?

A: The PTM Posbindu program is a community-based health program aimed at preventing and managing non-communicable diseases. The program involves the participation of community cadres, who are trained to provide health education and support to their peers.

Q: What are the main challenges faced by the PTM Posbindu program in the working area of the Matsum City Health Center?

A: The main challenges faced by the PTM Posbindu program in the working area of the Matsum City Health Center include a shortage of implementing staff, limited facilities and infrastructure, and a lack of special training for Posbindu cadres.

Q: How can the PTM Posbindu program be improved?

A: The PTM Posbindu program can be improved by completing necessary facilities and infrastructure, providing routine training for cadres, and enhancing collaboration with various parties, including healthcare providers, community leaders, and other stakeholders.

Q: What is the role of the Medan City Health Office in the implementation of the PTM Posbindu program?

A: The Medan City Health Office plays a crucial role in the implementation of the PTM Posbindu program by providing necessary facilities and infrastructure, training for cadres, and coordination with various parties.

Q: How can community participation in Posbindu activities be improved?

A: Community participation in Posbindu activities can be improved by using community-based health education and outreach programs, engaging community leaders and stakeholders, and providing incentives for participation.

Q: What are the benefits of the PTM Posbindu program?

A: The benefits of the PTM Posbindu program include improved health and well-being of the community, increased awareness and education about non-communicable diseases, and enhanced collaboration and coordination among healthcare providers and community stakeholders.

Q: How can the sustainability of the PTM Posbindu program be ensured?

A: The sustainability of the PTM Posbindu program can be ensured by continuously evaluating and improving the program, addressing challenges and limitations, and ensuring good cooperation and coordination among healthcare providers and community stakeholders.

Q: What are the future directions for the PTM Posbindu program?

A: The future directions for the PTM Posbindu program include expanding the program to reach more communities, improving the quality and quantity of Posbindu activities, and enhancing collaboration and coordination among healthcare providers and community stakeholders.

Q: How can the PTM Posbindu program be replicated in other areas?

A: The PTM Posbindu program can be replicated in other areas by adapting the program to the local context, engaging local stakeholders and community leaders, and ensuring good cooperation and coordination among healthcare providers and community stakeholders.

Q: What are the limitations of this study?

A: The limitations of this study include the small sample size and the use of a qualitative approach. Future studies should aim to address these limitations by using a larger sample size and a mixed-methods approach.

Q: What are the implications of this study for public health policy and practice?

A: The implications of this study for public health policy and practice include the need for improved infrastructure and resources for community-based health programs, enhanced training and capacity-building for healthcare providers and community stakeholders, and increased collaboration and coordination among healthcare providers and community stakeholders.