Online Program

Primary care needs assessment from three villages in north sulawesi, Indonesia: Recommendations for future interventions

Tuesday, November 5, 2013 : 3:30 p.m. - 3:45 p.m.

Iben McCormick-Ricket, MPH, Learn To Live, New Orleans, LA
Rachel Witwer, MPH, Learn To Live, New Orlerans, LA
Yanti Turang, RN, Learn To Live, New Orlerans, LA
Melissa Ferniz, RN, Learn To Live, New Orlerans, LA
Purpose: Access to primary care is limited for the residents of North Sulawesi, Indonesia. Moreover, little information is available on the health status and needs of these people. This research describes the demographic, disease, and treatment profiles from mobile health clinics in Sapa, Bunaken and Likupange; three distinct villages in North Sulawesi. The goal of this research is to guide future community-based primary care efforts in this area. Methods: Learn To Live, a small non-profit organization performed history and physical examinations on 634 patients. Demographic, disease and treatment data were collected on all patients. The data was compiled and cleaned using Excel and descriptive analysis was performed using SAS 9.3. Results: Within the 634 patient population, 27.6% were between 0-21 years, 42.7% were between 22-54 years and 29.7% were 55 and older. Approximately 67% were female and 33% were male. The most common diagnosis was musculoskeletal (23.5%), followed by Gastrointestinal (16.2%); ENT/allergy (14.8%) and Cardiac (12.9%). Nearly 33% of the population experienced multiple diagnoses. A total of 846 prescriptions were written; the most common were pain relievers (35.1%), acid reducers (17.5%), antibiotics (14.5%) and allergy medication (14.4%). Conclusion: These results describe a diverse population in terms of demographic characteristics and disease profiles. While the majority of diagnoses are considered chronic in nature, many patients continue to suffer acute ailments as well. Future efforts should identify the source of acute conditions, include preventative interventions for chronic diseases and implement management strategies for patients with multiple conditions.

Learning Areas:

Assessment of individual and community needs for health education
Clinical medicine applied in public health
Public health or related research

Learning Objectives:
Describe the primary health care needs of three underserved villages in North Sulawesi, Indonesia. Identify the most common diseases diagnoses and treatment options provided to the residents of these villages. Demonstrate the need for expanded primary care access in these areas of North Sulawesi.

Keyword(s): Underserved, Community-Oriented Primary Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the director of Research & Evaluation for Learn To Live, a small non-profit organization that provides mobile health clinics and public health programs to the residents of Sapa, Bunaken and Likupange, three villages in North Sulawesi, Indonesia. I am an epidemiologist by training and have several abstract publications in fields related to epidemiology. I have nearly 3 years of SAS and analysis experience.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.