Integrated assisted post (Posbindu) to lowering high prevalence of hypertension and diabetes mellitus

https://doi.org/10.22146/jcoemph.93233

Tri Nugraha Susilawati(1*), Anestasia Darmastuti Ismanta(2), Clarisca Calcafiorentina Bernarda(3), Farah Fauziah Nandyantami(4), Farhan Hilmy(5), Kevyn Basaria(6), Muhammad Haqin Nazili(7), Nuuriyah 'Ulwiyah(8), Sarah Zahida(9), Yanika Tiara Nugraha(10), Zulfi Azam Adiby(11)

(1) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(2) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(3) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(4) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(5) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(6) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(7) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(8) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(9) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(10) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(11) Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Central Java, Indonesia
(*) Corresponding Author

Abstract


Introduction: Non-communicable diseases (NCDs) contribute to 74% of global mortality and are responsible for 73% of national casualties. It had been predicted that in 2024, the number of patients with NCDs in Indonesia will be around 92 million people, and among others, hypertension and diabetes mellitus (DM) are significant health burdens in this country. This paper presents a community service activity aimed at screening for NCDs in Sana Village, Sragen Regency, Central Java Province, Indonesia.

Methods: An integrated assisted post (Posbindu)was held for early detection and to monitor the main risk factors of NCDs, particularly hypertension and DM. Fifty working-age adults from the Sana village were targeted to attend the Posbindu. Blood pressure and blood glucose levels were measured, followed by treatment and health counseling by the medical students, Mondokan health center officers, and local midwives.

Results: The activity was well appreciated by the local community, with a participation rate of 226% (113 attendees out of 50 people targeted), consisting of 22 men and 91 women aged 22–93 years old. Hypertension and DM were detected in 61.9% (70/113) and 5.3% (6/113) participants.

Conclusion: The high prevalence of NCDs, particularly hypertension, highlights the importance of maintaining physical fitness and carrying out health checks regularly. Thus, NCD screening through Posbindu is expected to be sustainable.



Keywords


non-communicable diseases; integrated assisted post; posbindu; hypertension; diabetes mellitus

Full Text:

PDF


References

  1. World Health Organization (WHO). Non-communicable Disease [internet]. 2024.Available from: https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_1

  2. Kemeterian Kesehatan Republik Indonesia (Kemenkes RI). Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514

  3. Gani A and Budiharsana MP. The Consolidated Report on Indonesia Health Sector Review 2018. Jakarta: Ministry of National Development Planning (Bappenas); 2019. Available from: https://www.unicef.org/indonesia/media/621/file/Health%20Sector%20Review%202019-ENG.pdf%20.pdf

  4. Singh S, Shankar R, Singh G P. Prevalence and associated risk factors of hypertension: A cross-sectional study in urban Varanasi. International Journal of Hypertension. 2017; 2017(5491838):1–10. Available from:https://doi.org/10.1155/2017/5491838

  5. Goodhart AK. Hypertension from the patient’s perspective. British Journal of General Practice. 2016;66(652):570. Available from: https://doi.org/10.3399/bjgp16x687757

  6. World Health Organization (WHO). Hypertension [internet]. Updated 16 March 2023. Available from: www.who.int/news-room/fact-sheets/detail/hypertension

  7. Oparil, S, Acelajado MC, Bakris GL, et al. Hypertension. Nature Reviews Disease Primers. 2018; 4(18015). Available from:https://doi.org/10.1038/nrdp.2018.15

  8. Kharroubi AT & Darwish HM. Diabetes mellitus: The epidemic of the century. World Journal of Diabetes. 2015; 6(6):850–867. Available from:https://doi.org/10.4239/wjd.v6.i6.850

  9. American Diabetes Association. Good to know: Diabetes symptoms and tests. Clinical Diabetes, 2020;38(1):108. Available from:https://doi.org/10.2337/cd20-pe01

  10. Ramachandran A. Know the signs and symptoms of diabetes. The Indian Journal of Medical Research. 2014;140(5):579–581. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311308/

  11. Papatheodorou K, Banach M, Bekiari E, et al. Complications of diabetes 2017. Journal of Diabetes Research. 2018;2018(3086167). Available from:https://doi.org/10.1155/2018/3086167

  12. Farmaki P, Damaskos C, Garmpis N, et al. Complications of the Type 2 Diabetes Mellitus. Current Cardiology Reviews. 2020;16(4):249–251. Available from:https://doi.org/10.2174/1573403X1604201229115531

  13. Peer N, Balakrishna Y, Durao S. Screening for type 2 diabetes mellitus. The Cochrane Database of Systematic Reviews. 2020;5(5):CD005266. Available from:https://doi.org/10.1002/14651858.CD005266.pub2

  14. Petrie JR, Guzik TJ, Touyz RM. Diabetes, hypertension, and cardiovascular disease: Clinical insights and vascular mechanisms. Canadian Journal of Cardiology. 2018;34(5):575–584. Available from: https://doi.org/10.1016/j.cjca.2017.12.005

  15. Ciarambino T, Crispino P, Leto G, et al. Influence of gender in diabetes mellitus and its complication. International Journal of Molecular Sciences. 2022;23(16):8850. Available from: https://doi.org/10.3390/ijms23168850

  16. Ohldieck AE, Kringeland E, Midtbø H, et al. High-normal blood pressure in midlife is a stronger risk factor for incident hypertension 26 years later in women than men: The Hordaland Health Study. Blood Pressure 2023;32(1):1–8. Available from: https://doi.org/10.1080/08037051.2023.2179337

  17. Kringeland E, Tell GS, Midtbø H, et al. Factors associated with increase in blood pressure and incident hypertension in early midlife: the Hordaland Health Study. Blood Pressure. 2020;29(5):267–275. Available from: https://doi.org/10.1080/08037051.2020.1762070

  18. International Diabetes Federation (IDF). Diabetes Atlas 8th ed [internet]. 2017. Available from: https://diabetesatlas.org/atlas/eighth-edition/

  19. Gillis EE & Sullivan JC. Sex differences in hypertension: Recent advances. Hypertension. 2016;68(6):1322–1327. Available from: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.116.06602

  20. Tasić T, Tadić M, Lozić M. Hypertension in women. Frontiers in Cardiovascular Medicine. 2022; 9(2022). Available from: https://doi.org/10.3389/fcvm.2022.905504

  21. Kautzky-Willer A, Leutner M, Harreiter J. Sex differences in type 2 diabetes. Diabetologia. 2023;66:986–1002. Available from: https://doi.org/10.1007/s00125-023-05891-x



DOI: https://doi.org/10.22146/jcoemph.93233

Article Metrics

Abstract views : 352 | views : 235

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.