Abstract

Dalam kurun waktu 35 tahun sejak tahun 1990, jumlah lanjut usia (lansia) di Indonesia meningkat 414% dan akan berada pada peringkat kelima negara dengan lansia terbesar pada tahun 2025. Seperti umumnya di negara berkembang, lebih dari dua per tiga lansia hidup di wilayah perdesaan terpencil. Penelitian ini bertujuan untuk mendeskripsikan dan membahas berbagai masalah gangguan kesehatan, sosial budaya, pelayanan, dan program-program kesehatan lansia di Kepulauan Tanimbar Provinsi Maluku. Penelitian dengan metode kualitatif melalui observasi, partisipasi, dan wawancara terhadap 30 lansia di dua wilayah semiurban dan 6 wilayah perdesaan terpencil di kepulauan Tanimbar Provinsi Maluku pada bulan April-Juni 2010. Pengumpulan data, diskusi, dan wawancara dilakukan terhadap pemegang program lansia di dinas kesehatan dan puskesmas. Gangguan kesehatan yang banyak dialami lansia adalah artralgia genu, gastritis kronis, nyeri pinggang bawah, katarak, hipertensi, dan diabetes melitus. Masalah sosial budaya akibat urbanisasi membuat para lansia ting- gal sendiri tanpa perawatan anak atau cucu. Pelayanan kesehatan terlihat belum optimal, sarana/prasarana terbatas, aspek promosi kesehatan terabaikan, serta tenaga kesehatan yang memperhatikan kesehatan lansia masih kurang. Pos pelayanan terpadu (posyandu) lansia belum efektif, informasi minimal, kader belum optimal menunjang kebutuhan lansia. Ke de- pan, perlu memperkuat sistem pelayanan kesehatan lansia; peningkatan perhatian dan kemitraan dengan lembaga eksekutif dan legislatif; serta melakukan inovasi strategi pendidikan, pelayanan, dan penelitian di bidang kesehatan lansia di daerah terpencil dan perdesaan Indonesia.

Indonesia is a country with the highest increase numbers of elderly in the world. In the range 35 years since 1990, the increase number of the elder- ly will be 414% that will set Indonesia in the fifth rank of the highest elderly in the world by the year of 2025. In most developing countries on the world, more than two third elderly live in remote and rural area. The aim of this study is to descript and discuss statistic data, health, health services, and programs for elderly in remote and rural Indonesia represented by Tanimbar Islands Maluku Province. The study use qualitative method by observation, participation, and interview with 30 elderly from 2 semiurban and 6 rural area in remote, rural, new developing administration district, and outer is lands of Republic Indonesia, Tanimbar Islands, Maluku Province in April to June 2010. We also interview and discuss elderly problems with elderly section program in health department West-Southeast Maluku region and el- derly program personnel in public health center. From the study, we found major health problems of the elderly in Tanimbar are genus artralgia, chronic gastritis, lower back pain, cataract, hypertension, and diabetes mellitus. Social and culture problems are urbanization which make elderly living alone. Integrated service section for elderly aren’t effective, minimal infor- mation, and the human resources aren’t optimal enough to support elderly needs. In the future, we must strengthen our health services system for elderly; expands the concern and networking with executive and legislative board; do education, service, and research innovations and strategies in the field of elderly health in remote rural Indonesia.

References

  1. Help Age International. Age friendly community health services in Aceh, Indonesia. Thailand: Help Age International Asia Pasific Regional Development Centre; 2006.
  2. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Data statistik penduduk Indonesia. Jakarta: Pusat Penelitian dan Pengembangan Kementerian Kesehatan Republik Indonesia; 2004.
  3. Soejono CH. Pengkajian paripurna pada pasien geriatri. Dalam: Sudoyo AW, Setiyohadi B, Alwi A, Simadibrata M, Setiati S, editor. Buku ajar ilmu penyakit dalam. Jilid III. Edisi IV. Jakarta: Pusat Penerbit Ilmu Penyakit Dalam; 2006. hal. 1425-30.
  4. United Nations. World population prospect 2001. New York: United Nations; 2001.
  5. United Nations. World population prospect 2004. New York: United Nations; 2004.
  6. Chacko A, Joseph A. Health problems of the elderly in rural south India. Indian Journal of Community Medicine. 1990; 15 (2): 70-3.
  7. Ahn YH, Kim MJ. Health care needs of elderly in a rural community in Korea. Public Health Nursing. 2004; 21 (2): 153-61.
  8. Braithwaite RL, Lythcott N. Community empowerment as a strategy for health promotion for black and other minority populations. Journal of American Medical Association. 1989; 261: 281-3.
  9. Kumar V, Acanfora M, Hennessy CH, Kalache A. Health status of the rural elderly. The Journal of Rural Health. 2001; 17 (4): 328-31.
  10. Levine SA, Barry PP. Home care. In: Cassel CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, editors. Geriatric medicine: an evidence based approach. 4th ed. New York: Springer Verlag; 2003. p. 121-32.
  11. Asahara K, Momose Y, Murashima S. Family care giving of the elderly and long term care insurance in rural Japan. International Journal of Nursing Practice. 2002; 8: 167-72.
  12. Godden D. Providing health services to rural and remote communities. The Journal of The Royal College of Physicians of Edinburgh. 2005; 35: 294-5.
  13. Li Y, Chi I, Zhang K, Guo P. Comparison of health services use by Chinnese urban and rural older adults in Yunnan province. Geriatr Gerontol Int. 2006; 6: 260-9.
  14. Nemet GF, Bailey AJ. Distance and health care utilization among the rural elderly. Social Science and Medicine. 2000; 50: 1197-1208.
  15. Giles LC, Halbert JA, Gray LC, Cameron ID, Crotty M. The distribution of health services for older people in Australia: where does transition care fit? Australian Health Review. 2009; 33 (4): 572-82.
  16. Larson A. Rural health demographic destiny. Rural and Remote Health. 2005; 51 (6): 1-8.
  17. Manthorpe J, Iliffe S, Clough R, Cornes M, Bright L, Moriarty J, et al. Elderly people perspectives on health and well being in rural communities in England: findings from the evalution of the national service framework for older people. Health and Social Care in Community. 2008; 16 (5): 460-8.
  18. Kumamoto K, Arai Y, Zarit SH. Use of home care services effectively reduces feelings of burden among family caregivers of disabled elderly in Japan: preliminary results. International Journal of Geriatric Psychiatry. 2006; 21: 163-70.
  19. Ogawa T. Social services for the elderly based on the new rurality: the Japanese experience. The Journal of Rural Health. 2001; 17 (4): 374-7.
  20. Fuadi H. Studi fenomenologi motivasi lansia dalam memanfaatkan posyandu lansia di Kelurahan Sidomulyo Kecamatan Matesih Kabupaten Karanganyar [tesis]. Semarang: Fakultas Kedokteran Universitas Diponegoro; 2009.
  21. Zain I. Efektivitas pelaksanaan program posyandu usia lanjut di Pekon Pardasuka, Kecamatan Pardasuka, Kabupaten Tanggamus [tesis]. Bandar Lampung: Fakultas Ilmu Sosial dan Ilmu Politik Universitas Lampung; 2009.
  22. Hasibuan W, Ismayadi. Hubungan program pelayanan posyandu lansia terhadap tingkat kepuasan lansia di daerah binaan Puskesmas Darussalam Medan [tesis]. Medan: Fakultas Kedokteran Universitas Sumatera Utara; 2009.
  23. Wahyuna AW. Pengaruh pendidikan kesehatan tentang posyandu lansia terhadap pengetahuan dan sikap kader dalam pemberian pelayanan di posyandu lansia wilayah kerja Puskesmas Kauman Ngawi [tesis]. Surakarta: Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta; 2008.
  24. Fogelholm M, Valve R, Absetz P, Heinonen H, Uutela A, Patja K, et al. Rural urban differences in health and health behaviour: a baseline description of a community health promotion programme for the elderly. Scandinavian Journal of Public Health. 2006; 34: 632-40.
  25. Stratton TP, Cochran GA. A rural geriatric health experience. American Journal of Pharmaceutical Education. 1998; 62: 151-5.

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