Health Promotion Strategy Through Family Approach And Community Empowerment For Reducing The Risk Of Non-Communicable Disease In Denpasar Ni Komang Wiardani, I Wayan Juni Arsana, Mahesa Dwipayani
Non Communicable Diseases (NCD) is a global health problem that^s increase every year. NCD must be addressed immediately considering this disease, especially cardiovascular and diabetes mellitus are the main cause of death in world population. The study aims to determine the effectiveness of health promotion strategies through family approach and community empowerment for reducing the risk of NCD in Denpasar. The study was an intervention with a pre-post test control group design. Subjects were family members who were at risk of NCD (obesity, hyperglycemia or hypertension), divided into two groups were control and treatment groups consist of 42 people of each group. Data were collected include identity, diet, physical activity, blood glucose and blood pressure. The intervention were conducted among 3 months. The results of study that the study was conducted by subjects with a risk of non-communicable diseases, amount of 42 people to each group, with male of 42.95% in the treatment group and 57.1% of female. The average energy intake of subjects was 1675.4 kcal/day and 56.3% for control group and 59.4% of the control group had an intake above of adequacy rate. A total of 33.3% of the treatment group and 38, 1% of the control group had smoking history, 43.3% low level physical activity. The BMI indicator, waist circumference, blood pressure and blood glucose showed significant differences after intervention (p<0.05) and intervention was effective to reduce the risk of NCD indicators. There was decreased indicators by intervention, such as BMI 1.9 kg / m2, waist circumference 2.2 cm, blood pressure 21.1/5.2 mmHg and blood glucose decreased by 24.2 mg/dl. The results of this study show that^s an intervention has a dominant effect on changes of NCD indicators.
Keywords: NCD, health promotion, family approach, community empowerment
