Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives
Context: Ineffectively implemented community-based noncommunicable disease (NCD) programs can severely impact public health, often leading to a rise in chronic conditions such as diabetes and cardiovascular diseases. Aims: This study aims to fill this gap by exploring the insights and experiences of...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | International Journal of Noncommunicable Diseases |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jncd.jncd_78_24 |
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| _version_ | 1841556807534772224 |
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| author | Yoyok Bekti Prasetyo Shiena Wahyu Ramadan Sri Sunaringsih Ika Wardojo Yulis Setiya Dewi Titih Huriah |
| author_facet | Yoyok Bekti Prasetyo Shiena Wahyu Ramadan Sri Sunaringsih Ika Wardojo Yulis Setiya Dewi Titih Huriah |
| author_sort | Yoyok Bekti Prasetyo |
| collection | DOAJ |
| description | Context:
Ineffectively implemented community-based noncommunicable disease (NCD) programs can severely impact public health, often leading to a rise in chronic conditions such as diabetes and cardiovascular diseases.
Aims:
This study aims to fill this gap by exploring the insights and experiences of nurses through qualitative research, offering a deeper understanding of the factors influencing the effective delivery of NCD services in Indonesia.
Materials and Methods:
This qualitative research focuses on six nurses implementing NCD programs at community health centers. Data were collected through in-depth, semistructured interviews and analyzed using thematic analysis. Participants were selected through purposive sampling, targeting those with a minimum of two years of experience in NCD program implementation. Recruitment was facilitated through collaboration with local health departments, who assisted in identifying eligible nurses and inviting them to participate in the study.
Results:
Thematic analysis identified three key supporting factors: (1) cadre empowerment as a driving force, (2) cross-sectoral and village support as crucial resources, and (3) community engagement through collaboration. Conversely, three main challenges were identified: (1) resource constraints that hinder program execution, (2) timing conflicts affecting participant engagement, and (3) data entry bottlenecks that complicate monitoring and evaluation.
Conclusion:
The study concludes that while cadre empowerment, cross-sectoral support, and community involvement are vital for the program’s success, overcoming barriers such as resource limitations, engagement issues, and data management challenges is crucial for improving the program’s effectiveness and sustainability in managing NCDs at the community level. |
| format | Article |
| id | doaj-art-8bbc63db052449a5b562c30612586cb0 |
| institution | Kabale University |
| issn | 2468-8827 2468-8835 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Noncommunicable Diseases |
| spelling | doaj-art-8bbc63db052449a5b562c30612586cb02025-01-07T06:22:52ZengWolters Kluwer Medknow PublicationsInternational Journal of Noncommunicable Diseases2468-88272468-88352024-12-019416617510.4103/jncd.jncd_78_24Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectivesYoyok Bekti PrasetyoShiena Wahyu RamadanSri Sunaringsih Ika WardojoYulis Setiya DewiTitih HuriahContext: Ineffectively implemented community-based noncommunicable disease (NCD) programs can severely impact public health, often leading to a rise in chronic conditions such as diabetes and cardiovascular diseases. Aims: This study aims to fill this gap by exploring the insights and experiences of nurses through qualitative research, offering a deeper understanding of the factors influencing the effective delivery of NCD services in Indonesia. Materials and Methods: This qualitative research focuses on six nurses implementing NCD programs at community health centers. Data were collected through in-depth, semistructured interviews and analyzed using thematic analysis. Participants were selected through purposive sampling, targeting those with a minimum of two years of experience in NCD program implementation. Recruitment was facilitated through collaboration with local health departments, who assisted in identifying eligible nurses and inviting them to participate in the study. Results: Thematic analysis identified three key supporting factors: (1) cadre empowerment as a driving force, (2) cross-sectoral and village support as crucial resources, and (3) community engagement through collaboration. Conversely, three main challenges were identified: (1) resource constraints that hinder program execution, (2) timing conflicts affecting participant engagement, and (3) data entry bottlenecks that complicate monitoring and evaluation. Conclusion: The study concludes that while cadre empowerment, cross-sectoral support, and community involvement are vital for the program’s success, overcoming barriers such as resource limitations, engagement issues, and data management challenges is crucial for improving the program’s effectiveness and sustainability in managing NCDs at the community level.https://journals.lww.com/10.4103/jncd.jncd_78_24health servicesnoncommunicable diseasesnursing roleprimary health care |
| spellingShingle | Yoyok Bekti Prasetyo Shiena Wahyu Ramadan Sri Sunaringsih Ika Wardojo Yulis Setiya Dewi Titih Huriah Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives International Journal of Noncommunicable Diseases health services noncommunicable diseases nursing role primary health care |
| title | Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives |
| title_full | Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives |
| title_fullStr | Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives |
| title_full_unstemmed | Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives |
| title_short | Understanding enablers and barriers in Indonesia’s noncommunicable disease program: A qualitative study from nurses’ perspectives |
| title_sort | understanding enablers and barriers in indonesia s noncommunicable disease program a qualitative study from nurses perspectives |
| topic | health services noncommunicable diseases nursing role primary health care |
| url | https://journals.lww.com/10.4103/jncd.jncd_78_24 |
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