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ASEAN Journal of Community Engagement

Abstract

The COVID-19 crisis has disrupted non-communicable disease (NCD) services in primary health care, and NCD is one of the comorbidities that increase mortality in COVID-19 patients. Efforts to accelerate NCD services were carried out with the focus on two programs: the development of integrated polyclinic NCD services and the training of community health workers (CHW) at the Tanara Community Health Center (CHC) in Banten. The development of a continuous team-based service system from the Pos Pembinaan Terpadu (Posbindu)/integrated service post to NCD services at the CHC was carried out for six months to improve the quality of human resources and help provide recommendations in the implementation of NCD services. At the end of the program, there was a 26.1% increase in the number of hypertension patients receiving treatment compared with the previous year, and there was a significant increase in the level of knowledge of CHWs after training and long-term mentoring (p < 0.001). Efforts to accelerate NCD services require support from all parties, and to ensure the continuity of these efforts, periodic monitoring and evaluation are necessary.

References

Anand, T. N., Joseph, L. M., Geetha, A. v, Prabhakaran, D., &Jeemon, P. (2019). Task sharing with non-physician health-care workers for management of blood pressure in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet Global Health, 7(6), e761-e771. https://doi.org/10.1016/S2214-109X(19)30077-4

Badan Pusat Statistik Kabupaten Serang. (2019). Profil Kecamatan Tanara Dalam Angka. BPS Kabupaten Serang.

Carter, B. L., Rogers, M., Daly, J., Zheng, S., & James, P. A. (2009). The potency of team-based care interventions for hypertension: a meta-analysis. Archives of Internal Medicine, 169(19), 1748-1755. https://doi.org/10.1001/archinternmed.2009.316

Dinas Kesehatan Kabupaten Serang. (2019). Profil Kesehatan Kabupaten Serang Tahun 2019.

Chisholm-Burns, M. A., Lee, J. K., Spivey, C. A., Slack, M., Herrier, R. N., Hall-Lipsy, E., ... & Wunz, T. (2010). US pharmacists' effect as team members on patient care: systematic review and meta-analyses. Medical care, 923-933. https://www.jstor.org/stable/25750579

Dong, E., Du, H., & Gardner, L. (2020). An interactive web-based dashboard to track COVID-19 in real time. The Lancet Infectious Diseases, 20(5), 533-534. https://doi.org/10.1016/S1473-3099(20)30120-1

Glenton C., Colvin, C. J., Carlsen, B., Swartz, A., Lewin, S., Noyes, J., & Rashidian, A. (2013). Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis. The Cochrane Database of Systematic Reviews, 2013(10). https://doi.org/10.1002/14651858.CD010414.PUB2

Guedes M. B. O. G., de Assis, S. J. C., Sanchis, G. J. B., Araujo, D. N, Oliveira AGRDC, & Lopes J. M. (2021). COVID-19 in Brazilian cities: impact of social determinants, coverage and quality of primary health care. PLoS One, 16(9). https://doi.org/10.1371/JOURNAL.PONE.0257347

Huston, P., Campbell, J., Russell, G., Goodyear-Smith, F., Phillips, R. L., van Weel, C., & Hogg, W. (2020). COVID-19 and primary care in six countries. BJGP Open, 4(4), bjgpopen20X101128. https://doi.org/10.3399/bjgpopen20x101128

Kaur, P., Kunwar, A., Sharma, M., Mitra, J., das, C, Swasticharan, L., & Chakma, T. (2021). India Hypertension Control Initiative-Hypertension treatment and blood pressure control in a cohort in 24 sentinel site clinics. Journal of Clinical Hypertension (Greenwich, Conn.), 23(4), 720-729. https://doi.org/10.1111/JCH.14141

Li, V. C., Goethals, P. R., & Dorfman, S. (2007). A global review of training of community health workers. International Quarterly of Community Health Education, 27(3), 181-218. https://doi.org/10.2190/IQ.27.3.b

Ministry of Health. (2012). Petunjuk Teknis Pos Pembinaan Terpadu Penyakit Tidak Menular (POSBINDU PTM). Direktorat Jendral Pengendalian dan Penyehatan Lingkungan Kementerian Kesehatan Republik Indonesia.

Ministry of Health. (2018). Riset Kesehatan Dasar 2018. Direktorat Jendral Pengendalian dan Penyehatan Lingkungan Kementerian Kesehatan Republik Indonesia.

Ministry of Health. (2019). Buku Pedoman Manajemen Penyakit Tidak Menular. Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular Kementerian Kesehatan Republik Indonesia.

Ministry of Health. (2020). Petunjuk Teknis Pelayanan Puskesmas Pada Masa Pandemi COVID-19. Direktorat Pelayanan Kesehatan Primer Kementerian Kesehatan Republik Indonesia.

Nikoloski, Z., Alqunaibet, A., & Alfawaz, R. (2021). Covid-19 and non-communicable diseases: evidence from a systematic literature review. BMC Public Health, 21(1068), 1-9. https://doi.org/10.1186/s12889-021-11116-w

Peraturan Menteri Desa, Pembagunan Daerah Tertinggal, dan Transmigrasi Republik Indonesia Nomor 17 tahun 2019 tentang Pedoman Umum Pembagunan dan Pemberdayaan Masyarakat., (2019) (testimony of Disadvantaged Regions and Transmigration. Ministry of Villages).

Peiris, D., Sharma, M., Praveen, D., Bitton, A., Bresick, G., Coffman, M., ... & Mash, R. (2021). Strengthening primary health care in the COVID-19 era: a review of best practices to inform health system responses in low- and middle-income countries. WHO South-East Asia Journal of Public Health, 10(3), 6. https://doi.org/10.4103/2224-3151.309867

Plagg, B., Piccoliori, G., Oschmann, J., Engl, A., & Eisendle, K. (2021). Primary health care and hospital management uring COVID-19: lessons from Lombardy. Risk Management and Healthcare Policy, 14, 3987-3992. https://doi.org/10.2147/RMHP.S315880

Proia, K. K., Thota, A. B., Njie, G. J., Finnie, R. K., Hopkins, D. P., Mukhtar, Q., Cooksey, T. (2014). Team-based care and improved blood pressure control: a community guide systematic review. American journal of preventive medicine, 47(1), 86-99. https://doi.org/10.1016/j.amepre.2014.03.004

Rahman, G. S., Ridwan, M., Nora, H., Syukri, M., & Ismida, F. D. (2021). The pandemic of COVID-19 decreased adherence to treatment among hypertension patients at Dr. Zainoel Abidin Hospital. Trends in Infection and Global Health, 1(2), 58-65. https://doi.org/10.24815/tigh.v1i2.22418

Rhatomy, S., & Prasetyo, T. E. (2020). Impact of COVID-19 on primary care visits: lesson learnt from the early pandemic period. Journal of Community Empowerment for Health, 3(2), 102. https://doi.org/10.22146/jcoemph.57918

Santschi, V., Wuerzner, G., Chiolero, A., Burnand, B., Schaller, P., Cloutier, L., ... & Burnier, M. (2017). Team-based care for improving hypertension management among outpatients (TBC-HTA): study protocol for a pragmatic randomized controlled trial. BMC cardiovascular disorders, 17(1), 1-6. https://doi.org/10.1186/s12872-017-0472-y

Scheirer, M. A., & Dearing, J. W. (2011). An agenda for research on the sustainability of public health programs, 101(11), 2059-2067. https://doi.org/10.2105/AJPH.2011.300193

Simple: Home. (n.d.). Retrieved November 4, 2021, from https://www.simple.org/

Surendra, H., Elyazar, I. R., Djaafara, B. A., Ekawati, L. L., Saraswati, K., Adrian, V., ... & Hamers, R. L. (2021). Clinical characteristics and mortality associated with COVID-19 in Jakarta, Indonesia: A hospital-based retrospective cohort study. The Lancet Regional Health–Western Pacific, 9, 100108. https://doi.org/10.1016/J.LANWPC.2021.100108

Tanara Community Health Center. (2020). Laporan Tahunan Kunjungan Pasien Puskesmas Tanara 2020. Tangerang Community Health Centre.

Tanara Community Health Center. (2021). Laporan Tahunan Kunjungan Pasien Puskesmas Tanara 2021. Tangerang Community Health Centre.

Tsaqif, A. (2021). Analisis Perbandingan Jumlah Pasien Sebelum dan Setelah Pandemi Covid-19 UPT Puskesmas Tahun 2019-2020. Jurnal Rekam Medis Dan Informasi Kesehatan, 4(2), 90-97. https://doi.org/10.31983/jrmik.v4i2.7679

World Health Organization. (2018a). n. WHO guideline on health policy and system support to optimize community health worker programmes. World Health Organtization.

World Health Organization. (2018b). NONCOMMUNICABLE DISEASES COUNTRY PROFILES 2018. World Health Organization. https://apps.who.int/iris/handle/10665/274512

World Health Organization. (2018c). Team-based care. World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/260424/WHO-NMH-NVI-18.4-eng.pdf?sequence=1

World Health Organization. (2018d). WHO guideline on health policy and system support to optimize community health worker programmes. World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/275474/9789241550369-eng.pdf

World Health Organization. (2021, November 3). Indonesia: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data | WHO Coronavirus (COVID-19) Dashboard With Vaccination Data. https://covid19.who.int/region/searo/country/id

World Health Organization Western Pacific Region. (2021). Role of primary care in the COVID-19 response. https://apps.who.int/iris/bitstream/handle/10665/331921/Primary-care-COVID-19-eng.pdf?sequence=5&isAllowed=y

Yan, L. D., Chirwa, C., Chi, B. H., Bosomprah, S., Sindano, N., Mwanza, M., Musatwe, D., Mulenga, M., &Chilengi, R. (2017). Hypertension management in rural primary care facilities in Zambia: a mixed methods study. BMC Health Services Research, 17(1), 1–10. https://doi.org/10.1186/S12913-017-2063-0

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