Open Access Open Access  Restricted Access Subscription Access

ANALISIS KEBUTUHAN KADER KESEHATAN DALAM MENGATASI PENYAKIT TIDAK MENULAR SAAT PANDEMI COVID-19 DI BANTEN

Tuti Nuraini, Nani Asna Dewi, Retno Lestari, Ice Yulia Wardani, Poppy Fitriani, Shanti Farida Rachmi

Abstract


Penyakit tidak menular (PTM) merupakan komorbid yang akan memperberat kondisi kesehatan seseorang saat terserang COVID-19. Kader kesehatan berperan penting dalam meminimalkan dampak tersebut namun masih sedikit informasi yang tersedia mengenai kebutuhan kader untuk dapat mengoptimalkan peran tersebut.  Tujuan: Penelitian ini bertujuan untuk mengidentifikasi kebutuhan kader untuk membantu masyarakat dengan PTM di wilayah Banten saat pandemi COVID-19 di daerah yang berpotensi bencana. Metode: Metode penelitian yang digunakan adalah kualitatif dengan melakukan Focus Group Discussions (FGD) pada 43 orang kader dari dua desa. Pengumpulan data dilakukan masing-masing tiga kali, sepanjang bulan November 2019 dan 2020, di dua desa.  Data dianalisis dengan metode konten analisis. Hasil: Didapatkan 3 tema kebutuhan kader, yaitu: (1) Kader butuh dukungan dari keluarga, tokoh masyarakat, dan tenaga kesehatan; (2) Masyarakat kurang sadar kesehatan; (3) Masyarakat lebih percaya pengobatan tradisional dan belum memiliki Badan Penyelenggara Jaminan Sosial (BPJS). Diskusi: Kader adalah orang pilihan yang bersedia membantu tetangganya tanpa pamrih. Namun, tidak mudah agar dapat dipercaya masyarakat. Pembekalan kader dengan ilmu keperawatan diperlukan untuk peningkatan kesehatan masyarakat. Kesimpulan: Kader perlu dukungan berbagai pihak agar dapat melakukan perannya dengan baik. Pengetahuan dari mulai deteksi dini sampai penanganan dengan pendekatan budaya merupakan bekal yang penting untuk kader dalam mengatasi PTM di masa pandemi COVID-19. Hal ini merupakan salah satu strategi untuk mencegah risiko terjadinya dan akibat dari PTM dan terpapar COVID-19. Keterlibatan tokoh masyarakat, persepsi positif dan pengetahuan tentang PTM dan pandemi COVID-19 menjadi penentu keberhasilan program pemerintah dalam pengendalian PTM di masa Pandemi ini.

Kata kunci: bencana, COVID-19, kader kesehatan, pengetahuan, penyakit tidak menular.

Analysis of the Need for Health Cadres in Overcoming Non-Communicable Diseases During the Covid-19 Pandemic in Banten

 

ABSTRACT

Non-communicable diseases (NCDs) are comorbidities that will worsen a person's health condition when they are attacked by the COVID-19. Health cadres play an important role in minimizing such impact, but little information is available regarding the needs of cadres to optimize this role. Objective: This research aims to identify the needs of cadres to assist communities with NCDs in Banten region during the COVID-19 pandemic in areas with potential disasters. Methods: The research is qualitative by conducting Focus Group Discussions (FGD) on 43 cadres from two villages. Data were collected three times each, in November 2019 and November 2020, in two villages. Data were analyzed by using content analysis method. Results: There were 3 themes of cadre needs, namely: (1) Cadres need support from families, community leaders, and health workers; (2) People were less aware of health; (3) People believed more in traditional medicine and did not have health insurance from the Social Security Administering Agency (BPJS). Discussion: Cadres were chosen people who are willing to help their neighbors selflessly. However, it is not easy to be trusted by the community. It is necessary to provide cadres with nursing knowledge to improve public health. Conclusion: Cadres need support from various parties to play their roles well. Knowledge from early detection to handling with a cultural approach is important in overcoming NCDs during the COVID-19 pandemic. This is one of the strategies to prevent the risk of incidence and consequences of NCDs and exposure to COVID-19. The involvement of community leaders, positive perceptions and knowledge about NCDs and the COVID-19 pandemic are the determinants of the success of government programs in controlling NCDs during this Pandemic.

Keywords: disaster, COVID-19, health cadres, knowledge, non-communicable diseases.  


References


Aljunid, S. M. (2020). INA-CBG for sustainable universal coverage. Retrieved from https://manajemenrumahsakit.net/wp-content/uploads/2012/11/INA-CBG-PERSI-SYEDALJUNID-Final-Compatibility-Mode.pdf

Amanda, S., Rosidin, U., & Permana, R.H. Pengaruh pendidikan kesehatan senam Diabetes Melitus terhadap Pengetahuan Kader Kesehatan. Media Karya Kesehatan, 3(2), 162-173.

Banyubiru. Retrieved from https://www.google.co.id/maps/place/Banyubiru,+Labuan,+Kabupaten+Pandeglang,+Banten/@-6.3612046,105.8377034,14z/data=!4m5!3m4!1s0x2e4232446bdfe0f9:0x64528d60433007e4!8m2!3d-6.3587767!4d105.843708?hl=id

Beaglehole, R., Bonita, R., Horton, R., Adams, C., Alleyne, G., Asaria, P., Baugh, V., Bekedam, H., & Billo, N. (2011). Priority actions for the non-communicable disease crisis. The Lancet, 377(9775), 1438–1447. https://doi.org/10.1016/S0140-6736(11)60393-0

BeLue, R. (2017). The role of family in non-communicable disease prevention in Sub-Saharan Africa. Global Health Promotion, 24(3), 71–74. https://doi.org/10.1177/1757975915614190

Foglino, S., Bravi, F., Carretta, E., Fantini, M. P., Dobrow, M. J., & Brown, A. D. (2015). The relationship between integrated care and cancer patient experience: A scoping review of the evidence. Health Policy, 120, 1–9. https://doi.org/10.1016/j.healthpol.2015.12.004

Guardian, T. (2020). Prevention and control of non-communicable diseases in the COVID-19 response. Lancet, 395(May 30), 1678–1682. https://doi.org/10.1016/S0140-6736(20)31067-9

Hastuti, N. M., Puspitasari, R., & Sugiarsi, S. (2019). Peran Kader Kesehatan Dalam Program Posbindu Penyakit. MATERNAL, III(2), 57–61.

Knebel, A. R., Toomey, L., & Libby, M. (2012). Nursing Leadership in Disaster Preparedness and Response. In ANNUAL REVIEW OF NURSING RESEARCH (pp. 21–45). Springer Publishing Company. https://doi.org/http://dx.doi.org/10.1891/0739-6686.30.21

Kurniawan, A. & Intiasari, A. D. (2012). Kebutuhan jaminan kesehatan masyarakat di Wilayah Pendesaan. Jurnal Kesehatan masyarakat Nasional, 7(1), 3-7.

Moretti, F., Vliet, L. Van, Bensing, J., Deledda, G., Mazzi, M., Rimondini, M., Zimmermann, C., & Fletcher, I. (2011). A standardized approach to qualitative content analysis of focus group discussions from different countries. Patient Education and Counseling, 82(3), 420–428. https://doi.org/10.1016/j.pec.2011.01.005

Murray, C. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017 : a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(November 10), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7

Novieastari, E. & Gunawijaya, J. (2017). Buku Pedoman Asuhan Keperawatan Peka Budaya pada Pasien Berpenyakit Kronis. Jakarta: Fakultas Ilmu Keperawatan Universitas Indonesia.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2015 Tentang Petunjuk Teknis Bantuan Operasional Kesehatan. Retrieved from http://hukor.kemkes.go.id/uploads/produk_hukum/PMK%20No.%2011%20ttg%20JUKNIS%20Bantuan%20Operasional%20Kesehatan.pdf

Puspita, E., Oktaviarini, E., Dyah, Y., Santik, P., Ilmu, A., Masyarakat, K., Negeri, U., Epidemiologi, M., Pasca, S., Universitas, S., Semarang, D.,

Ilmu, J., Masyarakat, K., Negeri, U., & Pengobatan, K. (2017). The Role of Family and Health Officers in Compliance Treatment of Hypertension Patients. J. Kesehat. Masy. Indones, 12(2), 25–32.

Reskiaddin, L. O., Anhar, V. Y., Sholikah, & Wartono. (2020). Tantangan dan hambatan pemberdayaan masyarakat dalam pengendalian penyakit tidak menular di daerah semi-perkotaan : sebuah evidence based practice di Padukuhan Samirono, Sleman, Yogyakarta. Jurnal Kesmas Jambi, 4(2), 43-49.

Rosidin, U., Rahayuwati, L., & Herawati, E. (2020). Perilaku dan peran tokoh masyarakat dalam pencegahan dan penanggulangan pandemi COVID-19 di Desa Jayaraga, Kabupaten Garut. Indonesian Journal of Anthropology, 5(1), 42-50.

Ryan, D. H., & Ravussin, E., Heymsfield, S. (2020). Obesity COVID 19 and the Patient with Obesity – The Editors Speak Out. Obesity, 28(5), 847. https://doi.org/10.1002/oby.22808

Sari, K. (2016). Perkembangan Asuransi Kesehatan Swasta di Indonesia Tahun 2012-2016. Jurnal Ekonomi Kesehatan Indonesia, 2(2), 48-58.

World Health Organization. (2014). Global Status Report on noncommunicable diseases 2014. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf?sequence=1

World Health Organization. (2020). Coronavirus Disease (COVID-19) Situation Report 121. Data as received by WHO from National Authorities, 20 May 2020. Retrieved from https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200520-covid-19-sitrep-121.pdf?sfvrsn=c4be2ec6_4

Yehua, X., & Xia, Z. (2016). Discussion on the Training of Disaster-related Nursing Competencies of Emergency Nurses. International Journal of Nursing Sciences, 10(04), 1–8. https://doi.org/10.1016/j.ijnss.2016.04.009




DOI: http://dx.doi.org/10.32419/jppni.v6i1.255

Article Metrics

Abstract view : 93 times
PDF (Bahasa Indonesia) - 0 times PDF (Bahasa Indonesia) - 0 times

Refbacks

  • There are currently no refbacks.


 

Creative Commons License
Jurnal PPNI (P-ISSN: 2503-1376 ; E-ISSN: 2549-8576)