A Community Health Worker–Based Program for Elderly People With Hypertension in Indonesia: A Qualitative Study, 2013

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Rahmawati, Riana ; Bajorek, Beata
• Description:
  Introduction
  
  Hypertension is prevalent in the elderly, but treatment is often inadequate, particularly in developing countries. The objective of this study was to explore the role of a community-based program in supporting patients with hypertension in an Indonesian rural community.
  
  Methods
  
  A qualitative study comprising observation and in-depth interviews was conducted in an Integrated Health Service Post for the Elderly (IHSP-Elderly) program in Bantul district (Yogyakarta province). Eleven members of IHSP-Elderly program (ie, hypertensive patients), 3 community health workers (CHWs), and 1 district health staff member were interviewed to obtain their views about the role of the IHSP-Elderly program in hypertension management. Data were analyzed using thematic analysis.
  
  Results
  
  CHWs played a prominent role as the gatekeepers of health care in the rural community. In supporting hypertension management, CHWs served members of the IHSP-Elderly program by facilitating blood pressure checks and physical exercise and providing health education. Members reported various benefits, such as a healthier feeling overall, peer support, and access to affordable health care. Members felt that IHSP-Elderly program could do more to provide routine blood pressure screening and improve the process of referral to other health care services.
  
  Conclusion
  
  CHWs have the potential to liaise between rural communities and the wider health care system. Their role needs to be strengthened through targeted organizational support that aims to improve delivery of, and referral to, care. Further study is needed to identify the key factors for effective CHW-based programs in rural communities and the incorporation of these programs into the health care system.
  
  
• Subjects:
  Aged Community-Based Participatory Research Community Health Workers Female Health Services For The Aged Hospitals, District Humans Hypertension Interviews As Topic Male Middle Aged Program Evaluation Qualitative Research Rural Population

  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.140530
• ISSN:
  1545-1151
• Pubmed ID:
  26469948
• Pubmed Central ID:
  PMC4611861
• Document Type:
  Journal Article
• Place as Subject:
  Indonesia
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:24bea17583a22c54ec95a4c2cbb6c054fb2f8f0aece5b291a555ac3ba42c3eab121a22d22a6cd9ce7696ae7eee468f2e5d86dea5cb91e80220642894ec371e3a
• Download URL:
  https://stacks.cdc.gov/view/cdc/35563/cdc_35563_DS1.pdf
• File Type:
  [PDF - 296.66 KB ]