Faktor-Faktor yang Berhubungan dengan Pemanfaatan Posbindu PTM dalam Integrasi Layanan Primer (ILP) di Wilayah Kerja Puskesmas Padang Bulan Kecamatan Medan Baru

Abstract

The Integrated Coaching Post for Non-Communicable Diseases (NCD Health Post) is now implementing Primary Care Integration (PCI) as part of the transformation of health services. The aim is that this program is more structured and reaches productive age targets which have not been optimal so far. However, the implementation of PCI through NCD Health Post in the Padang Bulan Health Center working area still faces challenges, namely the low level of community utilization. Based on a preliminary survey, NCD Health Post every month in each village averages only 30-35 people, while the target of NCD Health Post after implementing PCI is all age groups. The purpose of this study was to determine the factors associated with the utilization of NCD Health Post in PCI in the Padang Bulan Health Center working area. This type of research is quantitative with a cross-sectional design. The sample of this study were people aged 15-59 years in the working area of the Padang Bulan Health Center as many as 100 people selected by sampling using Stratified Random Sampling. Data analysis used univariate and bivariate analysis with Chi-square test (α = 0,05). The results showed that knowledge (p = 0,002), attitude (p = 0,122), family support (p = 0,103), health worker support (p = 0,000), health cadre support (p = 0,000), and perceived needs (p = 0,035). This study concludes that knowledge, health worker support, health cadre support, and perceived need are significantly related to the utilization of NCD Health Post in PCI, while attitude and family support are not. It is expected that the head of the health center can increase the role of guidance by strengthening the capabilities of health cadres through training so that NCD Health Post implemented by the community can run more effectively and purposefully.