Introduction: Posbindu is a form of public participation to conduct early detection and
monitoring of risk factors for non-communicable diseases (NCD), and where it was carried out in
as an integrated-manner, routine and periodic event. Posbindu itself aimed to promotethe
community participation in prevention and early detection of risk factors for non-communicable
disease (NCD). Non-communicable diseases is the biggest killer in the world,causing
approximately 60% of global deaths. More than 9 millions of all deaths related to NCD
occurredunder the age 60 years old, and 90% premature deaths incidenceoccurs incountries where
significant number of population were low income-population. In Indonesia, death related to NCD
are growing in an alarming rate, from aproximately 41% at the year 1995, striking 59,5% at year
2007. According to Basic Health Survey of 2007, NCD related deaths ranked number 6 in a top
ten Death list.The growing rate of NCD prevalence are to become a serious threat upon national
Development, death risk from disease related conditon will negatively impact human resources
nationwide, which the effect will surely not limited to health aspect only but expanded to
economic aspect.Meanwhile, Posbindu program had not reach its popularity as it should have
been. In some region, posbindu visits by locals has decreased. At the study area, existing data
showed that, only as much as 10% of the local population was using Posbindu service. In many
regions, Posbindu were deemed to merge with geriatric social health care, as the major user was
the geriatric population.
Objective: to determine the factors that influence utilization of posbindu.
Methods: This study was a cross-sectional study of 120 people in productive age (aged between
18-59 years) including individuals who nevervisit posbindu. In this study there were 3 groups of
factors that can affect utilization of posbindu, the predisposing factors (age,sex,education
level,occupation, knowledge from cader counsels,understanding about posbindu, awarrness,
distance to posbindu, administration fee), and the reinforcing factors (family support, socialization
of posbindu). Data were collected from February 2015 through to March 2015
Results: Respondents who do not utilize posbindu service are as many as 25% while 75% of
respondents utilize posbindu. At bivariate analysis, we found several significant relationship
between independent variable and utilization of posbindu : age (OR=3.46 ; 95% Confidence
interval 0.96-12.43), education level (OR=0.17 ; 95% Confidence interval 0.03-0.772), knowledge
(OR=3.82 ; 95% Confidence interval 1.60-9.09), awareness (OR=3.76 ; 95% Confidence interval
1.44-9.82), family support (OR=1.84 ; 95% Confidence interval 0.79-4.27), significant
relationship between socialization of posbindu and utilization of posbindu (p=0.000), and also
administration fee (OR=4.57 ; 95% Confidence interval 1.88-11.06). Multivariate analysis shows
that respondent with higher education tend not to utilize posbindu service (OR=0.17 ; 95%
Confidence interval 0.03-0.89), and those who did not mind for administration fee have the greater
possibility to utilize posbindu service (OR=3.79 ; 95% Confidence interval 01.33-10.80).
Conclusion: Several factors were conceived as aspects that affected the utilization of the
Posbindu, but the level of education and administration fee are more prominent. Necessary efforts need to be conducted for people in productive age to promote their health, especially in community participation
