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논문분류	춘계학술대회 초록집
제목	Utilization of community-based health centers (puskesmas) to improve accessibility of health services and early detection of kidney disease
저자	Rosinta Hotmaida Pebrianti Purba
출판정보	2023; 2023(1):
키워드
초록	Objectives: More than 713 thousand of Indonesia's population are Chronic Kidney Disease (CKD) patients. CKD disease is the tenth most prominent cause of death for the elderly in Indonesia so that become one of the highest government social insurance burdens. The MoH utilizes Community-Based Health Centers (Puskesmas)to be early detection for kidney disease. However, little is known about the effectiveness of Puskesmas in the framework of controlling kidney disease. Methods: We utilize a longitudinal survey dataset from the 2014 Indonesia Family Life Survey (IFLS) to analyze and evaluate the effectiveness of the Puskesmas in improving the function of early kidney disease detection. IFLS covers 83% of the Indonesian population. Results: The analysis shows that the kidney disease prevalence among observations is 1,9%. However, the percentage increases in senior citizens by two times or 3,8%, and 60% are men. The elderly with kidney disease, whether they have government social insurance or not, tend to access treatment at the Puskesmas. Given that Indonesia uses the Gate-Keeper system, the first-level health facilities are at the sub-district or community level. In addition to this, Posyandu Lansia, as an extension of Puskesmas, is also utilized by older people for routine health checks, obtaining food/supplements, and various meetings and counseling. Various integrated services can be accessed by the elderly from 80,353 Posyandu Lansia spread across 81,616 villages in Indonesia. The Posyandu Lansia is also a space for the elderly to access savings and loan financial services, religious activities, and political activities. Puskesmasis highly effective in improving the senior QoL in various aspects of life. Conclusions: Puskesmas outreach program is carried out by trained cadres.Posyandu Lansia carries out early detection of kidney disease and other preventive programs to improve elderly QoL through various services.It also needs to address the covered social insurance for treatment and caregivers.
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