| dc.description.abstract | Indonesia's health development is challenged by a double burden of disease, where communicable diseases remain unresolved while non-communicable diseases (NCDs) are rising significantly. One of the key programs for NCD control is the Integrated Service Post for Non-Communicable Diseases (Posbindu PTM). However, its community utilization remains low, at under 50%. This study aimed to formulate a strategy to enhance the utilization of Posbindu PTM in Labuhan Batu Utara Regency. A Participatory Action Research (PAR) design was employed, involving multiple stakeholders in identifying problems and collaboratively formulating solutions. Participants included nine community members, three health cadres, two health workers, three village heads, one primary health center (puskesmas) head, and representatives from the District Health Office. Data were collected through in-depth interviews, focus group discussions, self-reports, and participatory observation, then analyzed using content analysis. The findings revealed various obstacles: limited knowledge and low community involvement, lack of training and support for cadres, insufficient equipment and documentation at the health worker level, and weak coordination and policy support. These results highlight the need for improved communication, education, and information (IEC), continuous cadre training, and stronger stakeholder commitment through supportive policies. Based on these findings, an innovative strategy was developed using the 5W1H framework (What, Why, Where, When, Who, How) as a systematic approach to sustainably increase Posbindu PTM utilization. This strategy also has the potential to be replicated in other regions as a community-based model for NCD control. | en_US |
