Situational Analysis of Facility-Based Support for Diabetes Mellitus Prevention Program in Rural Community in Banyumas District
Siti Masfiah, Arrum Firda, Arif Kurniawan
Jurusan Kesehatan Masyarakat, Universitas Jenderal Soedirman
Abstract
Background: The insidence of Diabetes Mellitus (DM) in Banyumas District is increasing, especially in rural area. There are about 306 cases of insulin dependent DM, and 1.878 Non-Insulin DM. The highest contribution of cases is from Karanglewas primary health care (puskesmas). Diabetes Mellitus prevention program should be strengthening in order to tackle this issues. This paper try to explore the situational analysis of facility-based support for Diabetes Mellitus prevention program in rural community in Banyumas District. Methods: This was qualitative study. Data was collected by in-depth interview and observation in tree rural areas in Karanglewas primary health care namely Babakan village, Jipang village and Singosari village. Data was analysis by content analysis approach. Ethical clearence was approaved by committe of ethics, Faculty of Medicine, Jenderal Soedirman University. Results: Analysis was categorized in two unit level; i) facility-based suport in sub-district level, ii) facility-based support in village level. There are several facility-based supports for promotive, curative and rehabilitative services available and accesible in sub-district unit both public and private, hovewer the support in private facility is limited, and some of the services are less affordable. In village unit, there are several community involvement program to support prevention and promotion for Diabetes Mellitus in rural community. Most of the programs are supervised by primary health care in the area, hovewer the private clinics also involved in the programs. In community level most of the challeges is related with funding availability, equipments and human resouces sustainability. Conclution: Facility-based support for Diabetes Mellitus prevention program is available in rural community in Banyumas District, hovewer there are several challeges in community level should be address to improve the Diabetes Mellitus prevention program.
Keywords: Diabetes Mellitus, facility-based support, rural community, Banyumas District
Topic: Health Promotion and Education