Analisis Pelaksanaan Program Pos Pembinaan Terpadu Penyakit Tidak Menular di Wilayah Kerja Puskesmas Polonia Kecamatan Medan Polonia Tahun 2016
ABSTRAK
Penyakit Tidak Menular (PTM) merupakan penyakit yang lebih banyak
disebabkan oleh gaya hidup manusia atau sering dikenal juga dengan penyakit
degeneratif. Berdasarkan Riset Kesehatan Dasar (2013) kasus PTM terus
meningkat setiap tahunnya di Indonesia dimana tercatat prevalensi hipertensi
26,5%, Rematik 24,7%, Asma 4,5%, Penyakit Paru Obstruktif Kronik 3,7%,
Diabetes Melitus 2,1%, Penyakit Jantung Koroner 1,5%, dan Stroke 1,2%.
Posbindu PTM merupakan program nasional untuk menanggulangi masalah PTM
melalui pendekatan preventif dan promotif..
Penelitian ini bertujuan untuk mengetahui analisis pelaksanaan program
Posbindu PTM di wilayah kerja Puskesmas Polonia Kecamatan Medan Polonia
Tahun 2016. Jenis penelitian ini adalah penelitian kualitatif dengan metode
observasi dan wawancara mendalam terhadap delapan informan yang terdiri dari
pihak Dinas Kesehatan Kota Medan, Kepala Puskesmas, Petugas Puskesmas
Terkait, tiga kader posbindu, dan dua penderita PTM.
Hasil penelitian menunjukkan bahwa input meliputi tenaga pelaksana
Posbindu masih kurang, sarana dan prasarana tergolong minim, dan biaya
operasional sangat minim berasal dari dana BOK Puskesmas. Proses meliputi
kegiatan program Posbindu tidak semua kegiatan dilakukan. Kader belum
menjalankan tugasnya dengan baik dikarenakan pengetahuan kader masih rendah
mengenai Posbindu PTM. Pelatihan/ pembinaan kader belum optimal dilakukan.
Berdasarkan hasil penelitian dapat disimpulkan bahwa program Posbindu
PTM di wilayah Puskesmas Polonia belum maksimal, maka diharapkan kepada
pihak Dinas Kesehatan Kota Medan melengkapi sarana dan prasarana serta
memberikan pelatihan yang rutin bagi para kader. Diharapkan adanya kerjasama
dan koordinasi dengan berbagai pihak dalam pelaksanaan Posbindu PTM dan
diharapkan tenaga pelaksana dapat lebih aktif menjalankan perannya.
Kata Kunci : Analisis, Pelaksanaan, Posbindu PTM
iii
Universitas Sumatera Utara
ABSTRACT
Non communicable diseases are usually caused by unhealthy lifestyle
factors or also known as degenerative diseases. According to Riskesdas (2013)
the prevalence of non communicable diseases keep increasing every year in
Indonesia which including hypertension 26,5%, rheumatoid arthritis 24,7%,
asthma 4,5%, chronic obstructive pulmonary disease 3,7%, diabetes mellitus
2,1%, coronary hearth disease 1,5%, and stroke 1,2%. Posbindu PTM (Non
Communicable Disease Integrated Service Post) program is a national program
for solving non communicable disease, by using preventive and promotion.
The objective of the research was to find out the implementation of
Posbindu PTM program in the working area of Puskesmas Polonia (Polonia
Primary Health Service), Medan Polonia, in 2016. The research used qualitative
method, by conducting observation and in-depth interviews with eight informants
that consisted of the management of Medan Health Service, the Head of
Puskesmas, Posbindu Puskesmas Personnel, 3 Posbindu cadres, and 2 citizen non
communicable disease sufferer.
The result of the research showed that input which included the lack of
program implementer, facility and infrastructure were inadequate, and the
operational cost which came from BOK of Puskesmas was also inadequate.
Besides that, the proses which included Posbindu PTM program was not all
programs could be implemented. Cadres did not do the activity well because their
knowledge of Posbindu PTM was still low. The training/development for them was
not optimal.
The conclusion of the research was that Posbindu program in the working
area of Puskesmas Polonia was not maximal. It is recommended that the
management of Medan Health Service complete the facility and infrastructure and
provide training for cadres regularly. It is also recommended that collaboration
and coordination should be performed in implementing Posbindu program and
the program implementer that considered of cadres and nurse should actively
play their role.
Keywords: Analysis, Implementation, Posbindu PTM Program
iv
Universitas Sumatera Utara
Penyakit Tidak Menular (PTM) merupakan penyakit yang lebih banyak
disebabkan oleh gaya hidup manusia atau sering dikenal juga dengan penyakit
degeneratif. Berdasarkan Riset Kesehatan Dasar (2013) kasus PTM terus
meningkat setiap tahunnya di Indonesia dimana tercatat prevalensi hipertensi
26,5%, Rematik 24,7%, Asma 4,5%, Penyakit Paru Obstruktif Kronik 3,7%,
Diabetes Melitus 2,1%, Penyakit Jantung Koroner 1,5%, dan Stroke 1,2%.
Posbindu PTM merupakan program nasional untuk menanggulangi masalah PTM
melalui pendekatan preventif dan promotif..
Penelitian ini bertujuan untuk mengetahui analisis pelaksanaan program
Posbindu PTM di wilayah kerja Puskesmas Polonia Kecamatan Medan Polonia
Tahun 2016. Jenis penelitian ini adalah penelitian kualitatif dengan metode
observasi dan wawancara mendalam terhadap delapan informan yang terdiri dari
pihak Dinas Kesehatan Kota Medan, Kepala Puskesmas, Petugas Puskesmas
Terkait, tiga kader posbindu, dan dua penderita PTM.
Hasil penelitian menunjukkan bahwa input meliputi tenaga pelaksana
Posbindu masih kurang, sarana dan prasarana tergolong minim, dan biaya
operasional sangat minim berasal dari dana BOK Puskesmas. Proses meliputi
kegiatan program Posbindu tidak semua kegiatan dilakukan. Kader belum
menjalankan tugasnya dengan baik dikarenakan pengetahuan kader masih rendah
mengenai Posbindu PTM. Pelatihan/ pembinaan kader belum optimal dilakukan.
Berdasarkan hasil penelitian dapat disimpulkan bahwa program Posbindu
PTM di wilayah Puskesmas Polonia belum maksimal, maka diharapkan kepada
pihak Dinas Kesehatan Kota Medan melengkapi sarana dan prasarana serta
memberikan pelatihan yang rutin bagi para kader. Diharapkan adanya kerjasama
dan koordinasi dengan berbagai pihak dalam pelaksanaan Posbindu PTM dan
diharapkan tenaga pelaksana dapat lebih aktif menjalankan perannya.
Kata Kunci : Analisis, Pelaksanaan, Posbindu PTM
iii
Universitas Sumatera Utara
ABSTRACT
Non communicable diseases are usually caused by unhealthy lifestyle
factors or also known as degenerative diseases. According to Riskesdas (2013)
the prevalence of non communicable diseases keep increasing every year in
Indonesia which including hypertension 26,5%, rheumatoid arthritis 24,7%,
asthma 4,5%, chronic obstructive pulmonary disease 3,7%, diabetes mellitus
2,1%, coronary hearth disease 1,5%, and stroke 1,2%. Posbindu PTM (Non
Communicable Disease Integrated Service Post) program is a national program
for solving non communicable disease, by using preventive and promotion.
The objective of the research was to find out the implementation of
Posbindu PTM program in the working area of Puskesmas Polonia (Polonia
Primary Health Service), Medan Polonia, in 2016. The research used qualitative
method, by conducting observation and in-depth interviews with eight informants
that consisted of the management of Medan Health Service, the Head of
Puskesmas, Posbindu Puskesmas Personnel, 3 Posbindu cadres, and 2 citizen non
communicable disease sufferer.
The result of the research showed that input which included the lack of
program implementer, facility and infrastructure were inadequate, and the
operational cost which came from BOK of Puskesmas was also inadequate.
Besides that, the proses which included Posbindu PTM program was not all
programs could be implemented. Cadres did not do the activity well because their
knowledge of Posbindu PTM was still low. The training/development for them was
not optimal.
The conclusion of the research was that Posbindu program in the working
area of Puskesmas Polonia was not maximal. It is recommended that the
management of Medan Health Service complete the facility and infrastructure and
provide training for cadres regularly. It is also recommended that collaboration
and coordination should be performed in implementing Posbindu program and
the program implementer that considered of cadres and nurse should actively
play their role.
Keywords: Analysis, Implementation, Posbindu PTM Program
iv
Universitas Sumatera Utara