| Summary: | Background: One of criteria of an alert village is the availability of
Poskesdes. Poskesdes activities can be carried out in a new building, the
house of a midwife or village polyclinic (polindes). The function of
Poskesdes associated with promotive activities is to encourage active role
of the community as early alert against risks for various public health
problems and as a foundation for networking of community based health
efforts in the village.
Objective: To identify the process of promotive activity implementation at
Poskesdes Subdistrict of Rimbo Bujang District of Tebo Jambi.
Method: The study used qualitative method. There were 16 informant
consisting of 3 midwives, 6 Poskesdes cadres, 2 community leaders, 2
heads of village, 1 staff of health center, 1 staff of Tebo district health
office, and 1 staff of Jambi provincial health office. Data were obtained
from indepth interview, document study and observation at Poskesdes.
Triangulation, member checking and debriefing were made to ensure data
validity. Data analysis used theory Miles and Huberman (1992) method.
Result: Promotive activities at Poskesdes were implemented in terms of
preparation for alert village program by Jambi Provincial Health Office and
Tebo District Health Office. The activities included encouragement for
active role of the community by involving midwives in coordination with
heads of villages, community leaders and cadres. Health centers took role
in increasing capacity of cadres and supervising midwives of Poskesdes.
Activities to improve alert for disease risk factors were implemented
through surveillance that involved integrated service post (posyandu) and
the utilization of religious activities. Poskesdes built network across sector
through community organizations.
Conclusion: Promotive activities at Poskesdes were influenced by active
role of midwives, cadres, heads of villages, and community leaders.
Community empowerment needed cooperation with community
organizations and organizations that had similar objectives and worked
across sector.
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