COMMUNITY EMPOWERMENT IN THE MANAGEMENT OF NON-COMMUNICABLE DISEASES (DIABETES MELLITUS) IN PLALANGAN SUBDISTRICT, GUNUNGPATI DISTRICT, SEMARANG CITY
Keywords:
community empowerment, family-centered care, health cadres, non-communicable diseases, type 2 diabetes mellitusAbstract
Diabetes mellitus (DM) is a growing global health problem, including in Indonesia where the prevalence continues to rise annually. The management of type 2 diabetes mellitus (T2DM) has largely been health officer-centered, with limited involvement of patients and families, which leads to suboptimal outcomes. This community service program (PkM) aimed to empower communities in Plalangan Subdistrict, Gunungpati District, Semarang City, through the training of health cadres in T2DM management. The program was conducted in two phases: pre-activity coordination with local stakeholders and the implementation of training activities. A total of 40 health cadres participated in training that included education on diabetes management, child diabetes, and simple blood glucose monitoring techniques using glucometers. Results showed that cadres successfully improved their knowledge and practical skills, demonstrated the ability to conduct capillary blood glucose tests, and acted as community educators in DM prevention and management. The involvement of trained cadres strengthened primary healthcare services by supporting early detection, encouraging healthy behaviors, and enhancing patient adherence. This program highlights the critical role of community empowerment and cadre training in improving diabetes management and quality of life at the community level.References
Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalence of Diabetes. Diabetes Care [Internet]. 2004 May 1;27(5):1047–53. Available from: https://diabetesjournals.org/care/article/27/5/1047/27412/Global-Prevalence-of-DiabetesEstimates-for-the
Malik S, Basit R, Naz S, Mawani M, Masood Q, Akhter J. Adherence to Lifestyle Advice and reatments in Pakistani Patients with Type 2 Diabetes 1. Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalence of Diabetes. Diabetes Care [Internet]. 2004 May 1;27(5):1047–53. Available from: https://diabetesjournals.org/care/article/27/5/1047/27412/Global-Prevalence-of-DiabetesEstimates-for-the 2. Malik S, Basit R, Naz S, Mawani M, Masood Q, Akhter J. Adherence to Lifestyle Advice and reatments in Pakistani Patients with Type 2 Diabetes Mellitus. J Diabetes Mellitus. 2016;6(1):49.
WHO. Global report on diabetes. Switzerland: WHO Library Catalouging-in-Publication Data; 2016.
Hidayat B, Ramadani RV, Rudijanto A, Soewondo P, Suastika K, Siu Ng JY. Direct Medical Cost of Type 2 Diabetes Mellitus and Its Associated Complications in Indonesia. Value Heal Reg Issues [Internet]. 2022 Mar;28:82–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2212109921000728
Franzen AB. Patient or physician centered care?: Structural implications for clinical interactions and the overlooked patient. Religions. 2017;8(8):158.
Hutchfield K. Familyâ€centred care: a concept analysis. J Adv Nurs. 1999;29(5):1178–87.
Green LW, Kreuter MW. Health program planning: An educational and ecological approach. Vol. 4. McGraw-Hill New York; 2005.
Kurniawan AW, Latifah H, Fanaqi C, Margani A. Peningkatan Kapasitas Komunikasi Kader dalam Upaya Menurunkan Angka Stunting di Kecamatan Bayongbong. Yumary J Pengabdi Kpd Masy. 2024;4(3):409–16.
Hatmanti NM, Winoto PMP, Salamy NFW, Rusdianingseh R, Septianingrum Y, Maimunah S, et al. Pemberdayaan Kader Kesehatan dalam Penatalaksanaan Penyakit Diabetes Mellitus. J ABDINUS J Pengabdi Nusant. 2023;7(3):830–8.
Sigit N, Setiyoargo A. Pemberdayaan Kader Kesehatan Tentang Diabetes Melitus Dan Senam Diabetes Di Tengah Pandemi Covid 19. SELAPARANG J Pengabdi Masy Berkemajuan. 2021;5(1):95–100.
Rizqi J, Fitriawan AS. Pelatihan Dan Pendampingan Kader Kesehatan Tentang Pengukuran Kadar Glukosa Darah Sebagai Upaya Deteksi Dini Diabetes Melitus. J Suaka Insa Mengabdi. 2020;2(2):47–54.
Zainuddin Z, Sulistiani I, Ahmad ZF, Sartika S, Maryadi M. Peningkatan pengetahuan kader dalam manejemen diri diabetes melitus melalui kelas edukasi kader. J PADE Pengabdi Edukasi. 2024;6(2):125–30.
Kementerian Kesehatan RI. Modul Pelatihan Bagi PelatihKader Kesehatan. 2018.
Sadikin IS, Lestari YD, Victor AA. The role of cadre in the community on diabetic retinopathy management and its challenges in low-middle income countries: a scoping review. BMC Public Health [Internet]. 2024 Jan 15;24(1):177. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-17652-5
