Development and implementation of Mental Health Posyandu Program in Adipala Village of Cilacap Regency
Abstract
Objective: The paper reviewed the Mental Health Posyandu's development and implementation, its effectiveness and affordability from the sufferers and their families' perspective in Adipala Village, Adipala District, Cilacap Regency.
Results: This analysis used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to measure the benefits of solving health problems in the community, especially mental health. According to BPS (2019), the Cilacap Regency population is 1,937,427 individuals, the target of people with mental disorders (ODGJ) reaches 2,906 sufferers, while Adipala Village in 2021 has a population of 13,549 people with 30 ODGJ sufferers from previously only 12 ODGJ in 2018. ODGJ creates complex problems for the environment and families. Chronic illness, unproductive, unsettling, stressful, shunned by friends and neighbors, negative stigma, families running out of financial resources, decreased interest in caring for / treating, remote access to referral health services, or unavailability of drugs in primary health care facilities. The mental health Posyandu provides empowering services to sufferers and their families, using the "four service tables" approach:
- Registration.
- Physical examination.
- Screening to monitor disease conditions.
- Discharge planning and group activity therapy (gymnastics and games) by trained health personnel.
In collaboration with Puskesmas Adipa 1 and the local village administration, the program is affordable and closely accessible in a flexible time. It allows professionals to speak in the session and do a community needs assessment to build cadres' knowledge and psycho-social support capacity. Conclusion: The key to this program development is the collaboration among the community, local village administration, and the puskesmas. Relevant stakeholders should discuss the program's sustainability.
