Community diagnosis in Sei Selayur urban village, Palembang, Indonesia: Actual approach for the assessment of health and social factors

Abstract

Community diagnosis is a comprehensive assessment of the community state as a whole in relation to economic, social, physical, and biological environmental conditions. This study aimed to determine the priority of health-related problems and its potential problem-solving interventions. Community diagnosis process was carried out in the 41^st neighborhood (Rukun Tetangga, RT 41), Sei Selayur, based on Lawrence Green's theory. Primary data were gathered through interviews, observations, and physical examinations. Meanwhile, secondary data was taken from Kalidoni primary healthcare profile. Home selection was based on maximum variance sampling. The priority of the problem was determined using the Reinke method, and the priority of the root cause of the problem was based on the Hanlon method. Final step in this activity is the determination of the problem-solving actions. Based on the results of the analysis, the main health problems found were Acute Respiratory Infection (ARI), hypertension, and hyperuricemia. These diseases were associated with knowledge, non-routine consumption of medications, and poor diet. Problem-solving alternative is implemented by referring to the PRECEDE-PROCEED theory in accordance with the needs of residents of RT 41. The biggest health problem in the community was an acute respiratory infection, which is associated mainly with knowledge factors. The Lawrence Green's community diagnosis theory, also known as the PRECEDE-PROCEED theory, can be used to enhance the precision of community diagnosis and make it possible to be applied in a broader context to achieve favorable health promotion.