Community diagnosis in Sei Selayur urban village, Palembang, Indonesia: Actual approach for the assessment of health and social factors

Tungki Pratama Umar; Agani Salsabila; Rizma Adlia Syakurah

doi:10.31893/multiscience.2023001

Keywords:

community health

Precede-Proceed

problem priority

problem intervention alternatives

Abstract

Community diagnosis is a comprehensive assessment of the community state as a whole in relation to economic, social, physical, and biological environmental conditions. This study aimed to determine the priority of health-related problems and its potential problem-solving interventions. Community diagnosis process was carried out in the 41^st neighborhood (Rukun Tetangga, RT 41), Sei Selayur, based on Lawrence Green's theory. Primary data were gathered through interviews, observations, and physical examinations. Meanwhile, secondary data was taken from Kalidoni primary healthcare profile. Home selection was based on maximum variance sampling. The priority of the problem was determined using the Reinke method, and the priority of the root cause of the problem was based on the Hanlon method. Final step in this activity is the determination of the problem-solving actions. Based on the results of the analysis, the main health problems found were Acute Respiratory Infection (ARI), hypertension, and hyperuricemia. These diseases were associated with knowledge, non-routine consumption of medications, and poor diet. Problem-solving alternative is implemented by referring to the PRECEDE-PROCEED theory in accordance with the needs of residents of RT 41. The biggest health problem in the community was an acute respiratory infection, which is associated mainly with knowledge factors. The Lawrence Green's community diagnosis theory, also known as the PRECEDE-PROCEED theory, can be used to enhance the precision of community diagnosis and make it possible to be applied in a broader context to achieve favorable health promotion.
References
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9. Burnier M, Egan BM (2018) Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research 124:1124-1140.
10. Carvalho AS, Santos P (2019) Medication Adherence In Patients With Arterial Hypertension: The Relationship With Healthcare Systems’ Organizational Factors. Patient Preference and Adherence 13:1761-1774.
11. Chen LY, Zhu WH, Chen ZW, Dai HL, Ren JJ, Chen JH, Chen LQ, Fang LZ (2007) Relationship between hyperuricemia and metabolic syndrome. Journal of Zhejiang University SCIENCE B 8:593-598.
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13. Conrick M (2006) Health Informatics: Transforming Healthcare With Technology (1st ed.). Cengage Learning, Melbourne.
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19. Ghimire N, Shah N, Khatiwada D, Magar ABCL, Singh SP, Aryal KK, Jha BK (2013) Assessment of district health system within inter-sectoral context in Nepal. Journal of Nepal Health Research Council 11:163-76.
20. Goodman RA, Bunnell R, Posner SF (2014) What is “community health”? Examining the meaning of an evolving field in public health. Preventive Medicine 67:S58-S61.
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28. Ni Q, Lu X, Chen C, Du H, Zhang R (2019) Risk factors for the development of hyperuricemia: a STROBE-compliant cross-sectional and longitudinal study. Medicine 98:e17597.
29. Peltzer K, Pengpid S (2018). The prevalence and social determinants of hypertension among adults in Indonesia: a cross-sectional population-based national survey. International Journal of Hypertension 2018:5610725.
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31. Porter CM (2016) Revisiting Precede–Proceed: A leading model for ecological and ethical health promotion. Health Education Journal 75:753-764.
32. Räihä T (2014) The Precede-Proceed Model–design to plan, implement and evaluate of eHealth intervention. In: Viteli J, Leikomaa M (ed) Proceedings of EdMedia 2014-World Conference on Educational Media and Technology. Association for the Advancement of Computing in Education (AACE), North Carolina, pp. 1010-1015.
33. Schnake-Mahl AS, Sommers BD (2017) Health care in the suburbs: an analysis of suburban poverty and health care access. Health Affairs 36:1777-1785.
34. Thapa J, Tandan M, Subedi RK (2012) A Text book of Community Health Diagnosis. CIST College, Kathmandu.
35. Tunny IS, Soamole I, Wibowo SA, Purnamasari I, Rumaolat W (2020) Effect of Health Education on Mothers’ Knowledge in the Prevention of Acute Respiratory Infection in Toddlers in Waimital Village, Maluku. Jurnal Ners 15:188-192.
36. Umar TP, Mariana M (2021) Correlation Between Total Cholesterol Level with Blood Pressure of Hypertensive Patients in Kalidoni, Palembang. Jurnal Epidemiologi Kesehatan Komunitas 6:207-212.
37. Usman SY, Darmawan G, Hamijoyo L, Wachjudi RG (2019) Hyperuricemia Prevalence and its Metabolic Syndrome Profiles: A Pilot Cross Sectional Study in North Kayong Regency, West Kalimantan, Indonesia. Indonesian Journal of Rheumatology 11:175-180.
38. Vaidya A, Pradhan A, Joshi SK, Gopalakrishnan S, Dudani I. (2008) Acquaintance with the actuality: community diagnosis programme of Kathmandu Medical College at Gundu village, Bhaktapur, Nepal. Kathmandu University Medical Journal 6:128-134.
39. Vaidya A, Pathak RP, Pandey MR (2012) Prevalence of hypertension in Nepalese community triples in 25 years: a repeat cross-sectional study in rural Kathmandu. Indian Heart Journal 64:128-131.
40. van Kleef, MEAM, Spiering W (2017) Hypertension: overly important but under-controlled. European Journal of Preventive Cardiology 24:36-43.
41. Villegas R, Xiang, YB, Elasy T, Xu WH, Cai H, Cai Q, Linton M, Fazio S, Zheng W, Shu XO (2012) Purine-rich foods, protein intake, and the prevalence of hyperuricemia: The Shanghai Men’s Health Study. Nutrition, Metabolism, and Cardiovascular Diseases 22:409-416.
42. Wake AA, Geleto TC (2019) Socio-economic importance of Fish production and consumption status in Ethiopia: a review. International Journal of Fisheries and Aquatic Studies 7:206-211.
43. Wang H, Zhang H, Sun L, Guo W (2018) Roles of hyperuricemia in metabolic syndrome and cardiac-kidney-vascular system diseases. American Journal of Translational Research 10:2749.
44. Weiss DN (2016) Assessing Online Courses in Health Education: Training a 21st Century Health Workforce. In: Wang VCX (ed.) Handbook of Research on Advancing Health Education Through Technology. IGI Global, Pennsylvania, pp 480-507.
45. Wiarsih W, Jannah NM, Sahar J (2020) Health Behavior and Medication Adherence in Hypertensive Client. Indonesian Journal of Global Health Research 2: 103-110.
46. World Health Organization (2006) The world health report 2006: working together for health. World Health Organization, Geneva.
47. Zhang M, Gao Y, Wang X, Liu W, Zhang Y, Huang G (2016) Comparison of the effect of high fruit and soybean products diet and standard diet interventions on serum uric acid in asymptomatic hyperuricemia adults: an open randomized controlled trial. International Journal of Food Sciences and Nutrition 67:335-343.
48. Zulaikhah ST, Sumarawati PST (2017) Risk Factors of Acute Respiratory Infections in Practice Area for Community of Medical Students in Semarang. Kesmas: National Public Health Journal 11:192-197.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to cite

Umar, T. P., Salsabila, A., & Syakurah, R. A. (2022). Community diagnosis in Sei Selayur urban village, Palembang, Indonesia: Actual approach for the assessment of health and social factors. Multidisciplinary Science Journal, 5(1), 2023001. https://doi.org/10.31893/multiscience.2023001

[1] Aihemaitijiang S, Zhang Y, Zhang L, Yang J, Ye C, Halimulati M, Zhang W, Zhang Z (2020) The Association between Purine-Rich Food Intake and Hyperuricemia: A Cross-Sectional Study in Chinese Adult Residents. Nutrients 12:3835.

[2] Akoko BM, Fon PN, Ngu RC, Ngu KB (2017) Knowledge of Hypertension and Compliance with Therapy Among Hypertensive Patients in the Bamenda Health District of Cameroon: A Cross-sectional Study. Cardiology and Therapy 6:53-67.

[3] Anderson LW, Krathwohl DR (2001) A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives. Longman, New York.

[4] Ashoorkhani M, Majdzadeh R, Gholami J, Eftekhar H, Bozorgi A. (2018) Understanding non-adherence to treatment in hypertension: a qualitative study. International Journal of Community Based Nursing and Midwifery 6:314.

[5] Astutik E, Puspikawati SI, Dewi DMSK, Mandagi AM, Sebayang SK (2020) Prevalence and Risk Factors of High Blood Pressure among Adults in Banyuwangi Coastal Communities, Indonesia. Ethiopian Journal of Health Sciences 30941-950.

[6] Bawazir LAA, Sianipar W (2019) Treating patients with hypertension in Indonesia’s primary health care centre: A challenging condition. Global Cardiology Science & Practice 2019:e201914.

[7] Bhargava M, Naik P, Raj U, Acharya R (2016) Community diagnosis by a family survey: an exposure to primary care during medical undergraduate training. Education for Primary Care 27(6): 494-498.

[8] Broadbent A (2009) Causation and models of disease in epidemiology. Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 40(4): 302-311.

[9] Burnier M, Egan BM (2018) Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research 124:1124-1140.

[10] Carvalho AS, Santos P (2019) Medication Adherence In Patients With Arterial Hypertension: The Relationship With Healthcare Systems’ Organizational Factors. Patient Preference and Adherence 13:1761-1774.

[11] Chen LY, Zhu WH, Chen ZW, Dai HL, Ren JJ, Chen JH, Chen LQ, Fang LZ (2007) Relationship between hyperuricemia and metabolic syndrome. Journal of Zhejiang University SCIENCE B 8:593-598.

[12] Choi BCK, Maza RA, Mujica OJ, The PAHO Strategic Plan Advisory Group, The PAHO Technical Team (2019) The Pan American Health Organization-adapted Hanlon method for prioritization of health programs. Revista Panamericana de Salud Pública 43:e61.

[13] Conrick M (2006) Health Informatics: Transforming Healthcare With Technology (1st ed.). Cengage Learning, Melbourne.

[14] Daniel ACQG, Veiga EV (2013) Factors that interfere the medication compliance in hypertensive patients. Einstein (São Paulo) 11:331-337.

[15] English R, Masilela T, Barron P, Schonfeldt A (2011) Health information systems in South Africa. South African Health Review 2011:81-89.

[16] Fabre G, Rodwin VG (2011) Public health and medical care for the world’s factory: China’s Pearl River Delta Region. BMC Medicine 9:110.

[17] Farmer RW, Saner S, Weingartner LA, Rabalais G (2021) Questioning Aid for Rich, Real-Time Discussion (QARRD): A Tool to Improve Critical Thinking in Clinical Settings. MedEdPORTAL 17:11132.

[18] Fogelholm M, Valve R, Absetz P, Heinonen H, Uutela A, Patja K, Karisto A, Konttinen R, Mäkelä T, Nissinen A (2006) Rural-urban differences in health and health behaviour: a baseline description of a community health-promotion programme for the elderly. Scandinavian Journal of Public Health 34:632-640.

[19] Ghimire N, Shah N, Khatiwada D, Magar ABCL, Singh SP, Aryal KK, Jha BK (2013) Assessment of district health system within inter-sectoral context in Nepal. Journal of Nepal Health Research Council 11:163-76.

[20] Goodman RA, Bunnell R, Posner SF (2014) What is “community health”? Examining the meaning of an evolving field in public health. Preventive Medicine 67:S58-S61.

[21] Kabir A, Miah S, Islam A (2017) Factors influencing eating behavior and dietary intake among resident students in a public university in Bangladesh: A qualitative study. PloS One 13(6): e0198801.

[22] Krouska A, Troussas C, Virvou M (2018) Computerized adaptive assessment using accumulative learning activities based on revised bloom’s taxonomy. In: Virvou M, Kumeno F, Oikonomou K (ed) Joint Conference on Knowledge-Based Software Engineering (JCKBSE) 2018 Smart Innovation, Systems and Technologies. Springer, Cham, pp 252-258.

[23] Li Y, Shen Z, Zhu B, Zhang H, Zhang X, Ding X (2021) Demographic, regional and temporal trends of hyperuricemia epidemics in mainland China from 2000 to 2019: a systematic review and meta-analysis. Global Health Action 14:1874652.

[24] Mazloomymahmoodabad S, Masoudy G, Fallahzadeh H, Jalili Z (2014) Education based on precede-proceed on quality of life in elderly. Global Journal of Health Science 6:178.

[25] Mehraj SS, Bhat GA, Balkhi HM, Gul T (2013) Health risks for population living in the neighborhood of a cement factory. African Journal of Environmental Science and Technology 7:1044-1052.

[26] Mosadeghrad AM (2014) Factors influencing healthcare service quality. International Journal of Health Policy and Management 3:77.

[27] Nguyen TPL, Schuiling-Veninga CCM, Nguyen TBY, Vu TH, Wright EP, Postma MJ (2017) Adherence to hypertension medication: Quantitative and qualitative investigations in a rural Northern Vietnamese community. PloS One 12:e0171203.

[28] Ni Q, Lu X, Chen C, Du H, Zhang R (2019) Risk factors for the development of hyperuricemia: a STROBE-compliant cross-sectional and longitudinal study. Medicine 98:e17597.

[29] Peltzer K, Pengpid S (2018). The prevalence and social determinants of hypertension among adults in Indonesia: a cross-sectional population-based national survey. International Journal of Hypertension 2018:5610725.

[30] Porter KM, Rutkow L, McGinty EE (2018) The importance of policy change for addressing public health problems. Public Health Reports 133:9S-14S.

[31] Porter CM (2016) Revisiting Precede–Proceed: A leading model for ecological and ethical health promotion. Health Education Journal 75:753-764.

[32] Räihä T (2014) The Precede-Proceed Model–design to plan, implement and evaluate of eHealth intervention. In: Viteli J, Leikomaa M (ed) Proceedings of EdMedia 2014-World Conference on Educational Media and Technology. Association for the Advancement of Computing in Education (AACE), North Carolina, pp. 1010-1015.

[33] Schnake-Mahl AS, Sommers BD (2017) Health care in the suburbs: an analysis of suburban poverty and health care access. Health Affairs 36:1777-1785.

[34] Thapa J, Tandan M, Subedi RK (2012) A Text book of Community Health Diagnosis. CIST College, Kathmandu.

[35] Tunny IS, Soamole I, Wibowo SA, Purnamasari I, Rumaolat W (2020) Effect of Health Education on Mothers’ Knowledge in the Prevention of Acute Respiratory Infection in Toddlers in Waimital Village, Maluku. Jurnal Ners 15:188-192.

[36] Umar TP, Mariana M (2021) Correlation Between Total Cholesterol Level with Blood Pressure of Hypertensive Patients in Kalidoni, Palembang. Jurnal Epidemiologi Kesehatan Komunitas 6:207-212.

[37] Usman SY, Darmawan G, Hamijoyo L, Wachjudi RG (2019) Hyperuricemia Prevalence and its Metabolic Syndrome Profiles: A Pilot Cross Sectional Study in North Kayong Regency, West Kalimantan, Indonesia. Indonesian Journal of Rheumatology 11:175-180.

[38] Vaidya A, Pradhan A, Joshi SK, Gopalakrishnan S, Dudani I. (2008) Acquaintance with the actuality: community diagnosis programme of Kathmandu Medical College at Gundu village, Bhaktapur, Nepal. Kathmandu University Medical Journal 6:128-134.

[39] Vaidya A, Pathak RP, Pandey MR (2012) Prevalence of hypertension in Nepalese community triples in 25 years: a repeat cross-sectional study in rural Kathmandu. Indian Heart Journal 64:128-131.

[40] van Kleef, MEAM, Spiering W (2017) Hypertension: overly important but under-controlled. European Journal of Preventive Cardiology 24:36-43.

[41] Villegas R, Xiang, YB, Elasy T, Xu WH, Cai H, Cai Q, Linton M, Fazio S, Zheng W, Shu XO (2012) Purine-rich foods, protein intake, and the prevalence of hyperuricemia: The Shanghai Men’s Health Study. Nutrition, Metabolism, and Cardiovascular Diseases 22:409-416.

[42] Wake AA, Geleto TC (2019) Socio-economic importance of Fish production and consumption status in Ethiopia: a review. International Journal of Fisheries and Aquatic Studies 7:206-211.

[43] Wang H, Zhang H, Sun L, Guo W (2018) Roles of hyperuricemia in metabolic syndrome and cardiac-kidney-vascular system diseases. American Journal of Translational Research 10:2749.

[44] Weiss DN (2016) Assessing Online Courses in Health Education: Training a 21st Century Health Workforce. In: Wang VCX (ed.) Handbook of Research on Advancing Health Education Through Technology. IGI Global, Pennsylvania, pp 480-507.

[45] Wiarsih W, Jannah NM, Sahar J (2020) Health Behavior and Medication Adherence in Hypertensive Client. Indonesian Journal of Global Health Research 2: 103-110.

[46] World Health Organization (2006) The world health report 2006: working together for health. World Health Organization, Geneva.

[47] Zhang M, Gao Y, Wang X, Liu W, Zhang Y, Huang G (2016) Comparison of the effect of high fruit and soybean products diet and standard diet interventions on serum uric acid in asymptomatic hyperuricemia adults: an open randomized controlled trial. International Journal of Food Sciences and Nutrition 67:335-343.

[48] Zulaikhah ST, Sumarawati PST (2017) Risk Factors of Acute Respiratory Infections in Practice Area for Community of Medical Students in Semarang. Kesmas: National Public Health Journal 11:192-197.

Abstract

References

How to cite