Mobilising a disadvantaged community for a cardiovascular intervention: designing PRORIVA in Yogyakarta, Indonesia
2010 (English)In: Global health action, ISSN 1654-9880, Vol. 3, 4661- p.Article in journal (Refereed) Published
INTRODUCTION: Cardiovascular disease (CVD) is a burden for developing countries, yet few CVD intervention studies have been conducted in developing countries such as Indonesia. This paper outlines the process of designing a community intervention programme to reduce CVD risk factors, and discusses experiences with regard to design issues for a small-scale intervention.
DESIGN PROCESS: THE DESIGN PROCESS FOR THE PRESENT COMMUNITY INTERVENTION CONSISTED OF SIX STAGES: (1) a baseline risk factor survey, (2) design of a small-scale intervention by using both baseline survey and qualitative data, (3) implementation of the small-scale intervention, (4) evaluation of the small-scale intervention and design of a broader CVD intervention in the Yogyakarta municipality, (5) implementation of the broader intervention and (6) evaluation of the broader CVD intervention. According to the baseline survey, 60% of the men were smokers, more than 30% of the population had insufficient fruit and vegetable intake and more than 30% of the population were physically inactive, this is why a small-scale population intervention approach was chosen, guided both by the findings in the quantitative and the qualitative study.
EXPERIENCES: A quasi-experimental study was designed with a control group and pre- and post-testing. In the small-scale intervention, two sub-districts were selected and randomly assigned as intervention and control areas. Within them, six intervention settings (two sub-villages, two schools and two workplaces) and three control settings (a sub-village, a school and a workplace) were selected. Health promotion activities targeting the whole community were implemented in the intervention area. During the evaluation, more activities were performed in the low socioeconomic status sub-village and at the civil workplace.
Place, publisher, year, edition, pages
CoAction Publishing, 2010. Vol. 3, 4661- p.
cardiovascular disease, design intervention, community intervention, urban community, developing countries
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:umu:diva-39343DOI: 10.3402/gha.v3i0.4661ISI: 000208160600019PubMedID: 20640246OAI: oai:DiVA.org:umu-39343DiVA: diva2:390929
This study was supported by a grant from the Provincial Health Office of Yogyakarta Special Regency, Indonesia, by a scholarship based on a donation from the Swedish Centre Party to Umea International School of Public Health, Umea, Sweden and Umea Centre for Global Health Research.2011-01-242011-01-242015-04-29Bibliographically approved