TREND DAN ISU DALAM

KEPERAWATAN KOMUNITAS
 DEFINITION

Trend: A trend is Issues: a subject or Community Health

what's hip or popular problem that people Nursing: Community health
nursing is a population-
at a certain point in are thinking and focused, community-oriented
time. It is fact. talking about. approach aimed at health
promotion of an entire
population, and prevention of
disease, disability and
premature death in a
population.
 The Alma-Ata Declaration
"Health for All"
1978

2000 Millennium developmental goals

2015 2030
2030 2018
Agenda for SDGs

From the Declaration of Alma-Ata to the

Sustainable Development Goals
SDGs
 NCDs

According to WHO (2022) Non-communicable diseases

kill 41 million people each year, equivalent to 74% of all

deaths globally. Each year, 17 million people die from a

NCD before age 70; 86% of these premature deaths

occur in low- and middle-income countries

NCDs
 The WHO STEPwise
approach

The WHO STEPwise approach to Surveillance

(STEPS) is a simple, standardized method for
collecting, analyzing and disseminating data in
WHO member countries.
There are currently two primary STEPS surveillance
systems, the STEPwise approach to risk factor surveillance
and the STEPwise approach to Stroke surveillance.
The STEPS Instrument covers three different levels of
"steps" of risk factor assessment. These steps are:
1. Questionnaire
2. Physical measurements
3. Biochemical measurements
SDGs
 Violence

CHILDREN YOUTH WOMEN ELDERS

 Child
violence

CHILDREN

Globally, it is estimated that up to 1 billion

children aged 2–17 years, have experienced
physical, sexual, or emotional violence or neglect
in the past year. Violence affects 21,241
Indonesian children.
 Bullying

70.6% of young people say they have

seen bullying in their schools

More than one out of every five

(20.8%) students report being bullied

Cyberbullying and digital harassment for

the 70.6 per cent of young people aged
15 to 24 years old who are online globally

The prevalence of cyberbullying among

adolescents in Indonesia is around 45%
according to the results of a poll of 2777
Bullying: Happens to everyone, young Indonesians aged 14-24 years

stoppable by everyone
 INSPIRE strategy

1
Implementation and enforcement of laws
2 Norms and values
3 Safe environments
4 Parent and caregiver support
5 Income and economic strengthening
6 Response and support services
7 Education and life skills
 Youth violence

YOUTH

200 000 homicides occur each year

among youth aged 10-29 years

Youth violence data in Indonesia: around 3330 cases. The

most common types of violence experienced were physical
violence, psychological violence, and sexual violence..

Youth violence is a global public health problem.

It includes a range of acts from bullying and
physical fighting, to more severe sexual and
physical assault to homicide.
 Youth violence
prevention
strategies

Twenty-one strategies to
prevent youth violence
 Women violence

WOMEN

35% of women worldwide experience either

physical and/or sexual intimate partner violence
or non-partner sexual violence in their lifetime
>50% of physically abused women reported that
they had never sought help from formal services
or authority figures
Intimate partner and sexual violence can result in short- and
long-term physical, sexual and reproductive, and mental health
problems.
 From 25 November, the International Day for the Elimination of
Violence against Women, to 10 December, Human Rights Day,
The 16 Days of Activism against Gender-Based Violence Campaign
It is a time to galvanize action to end violence against women and
girls around the world.
In Indonesia: The strategy is carried out through a partnership
approach with ministries or agencies, and related stakeholders.
 Elder abuse

ELDERS

Elder abuse is a hidden problem.

1 in 6 older adults worldwide have been abused
in the past year.
16% of older people were abused in the past
year, Only 4%of elder abuse is reported.

We need more research about elder abuse — its risk factors,

consequences, and solutions — especially in low- and middle-
income countries.
 PERAWAT DESA

Perpub Konawe Utara No Perpub Lampung Barat No

16 Tahun 2017 2 Tahun 2021

Perawat yang dtempatkan di wilayah desa untuk melakukan

upaya promotive, preventive dgn pendekatan individu,
keluarga, kelompok dan masyarakat
 PERAWAT DESA

Perbup Ogan Komering Ulu

Kerjasama antara Perbup Konawe Utara Perbup Lampung Barat No
Timur Sulsel No 13 th 2021
Kemendagri dengan No. 16 th 2017 tentang 2 Tahun 2021
Tentang petunjuk teknis
PPNI berkaitan program petunjuk teknis program Tentang petunjuk teknis
satu desa satu perawat di
OVON (One Village One satu perawat dan saru pelaksanaan satu pekon
Kabupaten Ogan Komering
Nurse) desa di Konawe Utara satu perawat
Ulu Timur
 TUJUAN

1. Mendekatkan akses dan kualitas

pelayanankesehatan dasar di pedesaan sekaligus
menjaga keberlangsungan pelayanan kesehatan
2. Menggerakan pemberdayaan masyarakat pedesaan
3. Memberikan pelayanan keperawatan yang mampu
menciptakan masyarakat pedesaan yang sehat,
mandiri, dan berkeadilan
4. Meningkatkan jangkauan pelayanan kesehatan di
wilayah kerja
 KARAKTERISTIK PERAWAT
DESA

1. EXPERIENCE OF PROFESIONAL ISOLATION

2. THE NEED TO MAKE INDEPENDENT DECISION

3. ABILITY TO ADJUST NURSING CARE BASED ON

COMMUNITY NEEDS AND DEMOGRAPHIC
 KOMPETENSI PERAWAT
DESA

1. Advanced emergency care

2. Advance assesment and diagnosis
3. Critically thinking and problem solving skills
4. Community assesment
5. Health promotion
6. Health prevention
7. Health screening
8. Curative skill
9. Management for spesific population
 SYARAT ADMINISTRATIF
PERAWAT DESA

1. KTP setempat
2. Ijazah legalisir
3. NIRA aktif
4. STR aktif
5. SIPP
6. Pernah mengabdi di Puskesmas minimal 1 thn
7. Rekomendasi kepala desa
8. Pas foto
 PROSES IMPLEMENTASI

Seleksi admin. dan wawancara oleh dinkes dan

organisasi terkait

Pembekalan terkait komunitas dan program-program

kesehatan

Anggarannya dari APBD

 DAFTAR PUSTAKA
• Alexander Butchart, S. H. (2016). INSPIRE: Seven strategies for
ending violence against children. Save the Children.
https://resourcecentre.savethechildren.net/document/inspire-
seven-strategies-ending-violence-against-
children/#:~:text=The seven strategies are%3A Law,and
Education and Life Skills.
• American Society For The Positive Care Of Children. (2021).
Bullying and cyberbullying. American Society For The Positive
Care Of Children. http://americanspcc.org/wp-
content/uploads/2021/06/aspcc-bullying.pdf
• Bupati Konawe Utara Provisi Sulawesi Tenggara. (2017).
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petunjuk teknik program satu perawat dan satu bidan dalam
satu desa di Kabupaten Konawe Utara.
https://peraturan.bpk.go.id/Home/Details/56692/perbup-kab-
konawe-utara-no-16-tahun-2017
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https://peraturan.bpk.go.id/Home/Details/185982/perbup-kab-ogan-
komering-ulu-timur-no-13-tahu
• Centers for Disease Control and Prevention. (2021). Prevention
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ml
• Eastern Mediterranean Regional Office. (2022). universal health
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• Kemenpppa. (2023). Simfoni-PPA. Kemenpppa.
https://kekerasan.kemenpppa.go.id/ringkasan
• Penz, K. L., Stewart, N. J., Karunanayake, C. P., Kosteniuk, J. G., &
MacLeod, M. L. P. (2019). Competence and confidence in rural and
remote nursing practice: A structural equation modelling analysis of
national data. Journal of Clinical Nursing, 28(9–10), 1664–1679.
https://doi.org/10.1111/jocn.14772
 DAFTAR PUSTAKA
• Registered Nursing Staff Writer. (2023). Guide to Rural Nursing.
RegisteredNursing.Org. https://www.registerednursing.org/rural-
nursing-guide/
• Sofianto, A. (2019). Integrasi Target Dan Indikator Sustainable
Development Goals Ke Dalam Perencanaan Pembangunan Daerah
Di Jawa Tengah. Jurnal Litbang Provinsi Jawa Tengah, 17(1), 25–
41. https://doi.org/10.36762/litbangjateng.v17i1.769
• United Nation. (2022). Do you know all 17 SDGs? United Nation.
https://sdgs.un.org/goals
• World Health Organization (WHO). (2020). Youth Violence. World
Health Organization (WHO). https://www.who.int/news-room/fact-
sheets/detail/youth-violence
• World Health Organization (WHO). (2021). Violence against
women. World Health Organization (WHO).
https://www.who.int/news-room/fact-sheets/detail/violence-against-
women#:~:text=Estimates published by WHO indicate,violence is
intimate partner violence.
• World Health Organization (WHO). (2022a). Abuse of older people. World
Health Organization (WHO). https://www.who.int/news-room/fact-
sheets/detail/abuse-of-older-people
• World Health Organization (WHO). (2022b). Noncommunicable diseases.
World Health Organization (WHO). https://www.who.int/news-room/fact-
sheets/detail/noncommunicable-diseases
• World Health Organization (WHO). (2022c). Violence against children.
World Health Organization (WHO). https://www.who.int/news-room/fact-
sheets/detail/violence-against-children
• World Health Organization (WHO). (2023). STEPwise approach to NCD
risk factor surveillance (STEPS). World Health Organization (WHO).
https://www.who.int/teams/noncommunicable-
diseases/surveillance/systems-tools/steps