| 4. In which ways is the initiative creative and innovative?
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Inisiarif implementation of Community Mental Health Program at the community health center is based on the idea of how to creatively tackle the situation difficult and controversial because it involves local culture, tradition is entrenched, the role of family, community and health workers.
The involvement of the parties there to participate in Community Mental Health Program proved to be very successful. Families and communities are the guidance given by officials from both health centers and from Lampung Province Mental Hospital. The situation escalated into a liquid and all parties merasamenjadi part of the process changes. For this to continue to happen, then the members of the family, community and health workers make menjelaskantentang kesepakatn the duties and functions of each party. Similarly, people can continue to monitor the course of this initiative and berpartisipai actively in its implementation.
"At most 200 words, illustrate what makes this initiative unique and how this initiative has been solving problems in ways new and different. Mention creative approaches and innovative to make this initiative succeed. "
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| 5. Who implemented the initiative and what is the size of the population affected by this initiative?
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Describe the organization through the which the program is administered and how many people it benefitted.
Community Mental Health Program Initiative with families and communities strategy and implemented according to the following action plan:
1. Identify the mental health issues that exist in every individual, family and society one of the first steps in implementing the action plan is to conduct focus group discussions with stakeholders from government and non-government mengidentikasi masala mental health problem and its solution.
One of the problems related to mental health is the lack of knowledge of the family and the community in providing mental health services in the community.
Various stakeholders present in the discussion, including the head of the health center, the Village Head, Community Leaders, Religious Leaders and Officers of Lampung Province Mental Hospital.
2. Coordination of information to follow up the discussion, the main issues discussed was delivered to officials is important in South Lampung Health Office. As a result the relevant Department decided to support the Community Mental Health Program and seek advice yng built daripemangku related interests about how to verify the processes of participation in the implementation of the program.
3. Signing of Cooperation Agreements.
After discussing the terms of the agreement, families, communities, health centers and personnel officers Mental Hospital was inaugurated with the signing of the cooperation agreement which was witnessed by officials of the Department of Health, Community Health Centers, Psychiatric Hospital, Community, Community leaders and village heads.
Inpatient Health Center Sidomulyo District of Sidomulyo South Lampung Regency which provides capacity building support and advocacy in the field of mental health services community, in partnership with the Mental Hospital Lampung Province, the village chief and Health Officer and Acting Mental Hospital facilitate discussions on a regular basis during the implementation of the initiative , This was done to support relevant stakeholders in the implementation of monitoring and evaluation in order to measure the impact of community mental health programs and opportunities for further development.
On the implementation of monitoring and evaluasiProgram Community Mental Health of all elements of both the Department, Community leaders and families are actively involved, as did visits to the home (Home Care) together with the Officers of the Health Center and the Mental Hospital.
To implement the Community Mental Health Program, families and communities and the various stakeholders to provide facilities to support this initiative:
1. Families provide a place for therapy patient and willing to release stocks.
2. The Department of Health and Mental Hospital to provide medical personnel and medicines.
In addition to the resources above, parties that support the implementation of the Community Mental Health Program also involves other resources, including:
1. Health Agency of South Lampung.
2. Home Life Sakir Lampung Province.
3. Inpatient Health Center Sidomulyo
4. Responsibility Program of Mental Health Inpatient Health Center Sidomulyo.
5. Family.
6. Community.
7. Community Leaders, Religious Leaders and Print and Electronic Media.
All sunber power mentioned above play an active role in supporting and encouraging the implementation of the Community Mental Health Program at UPT Puskesmas Sidomulyo. This commitment is enhanced through a series of activities coordination meetings and workshops. These activities are conducted openly and continuously and general nature. It is expected to build a common understanding among families and communities.
One of the outputs is important that the basis for the establishment of Community Mental Health Program is the Cooperation Agreement between the UPT Puskesmas Inpatient Psychiatric Hospital Sidomulyo with Lampung Province.
Exodus has contributed to the success of the Community Mental Health Program are:
1. With the collection of mental patients in each village can be netted and recorded.
2. With home visits and psychiatric patients drug delivery to the patient's home lots
patients who did not drop out of medicine, as well as offset the cost of the patient's family since it no longer taking medication to RSJP Bandar Lampung,
3.With the dissemination of the mental health community to know about mental health so that if there are people who qualify as mental disorders they immediately took him to the health center,
4. With the extension of nursing care or family with mental patients reduce recurrence of patients since the family began to care about the mental patients and always bring medication to the clinic if the drug out.
5. Facilitate ambulance to refer severe patients and new patients to the Mental Hospital Lampung Province
6. adanaya visit from Tim Lampung Province Mental Hospital every Wednesday every fortnight to the health center as a consular team.
To better understand the implementation of the Community Mental Health Programme and to monitor, mengevalausi progress achieved on a regular basis, then UPT Inpatient Health Center Sidomulyo conduct regular evaluation and consultation to the Mental Hospital on a regular basis in accordance with the letter of agreement.
To better understand the implementation of the Community Mental Health Programme and to monitor, mengevalausi progress achieved on a regular basis, then UPT Inpatient Health Center Sidomulyo conduct regular evaluation and consultation to the Mental Hospital on a regular basis in accordance with the letter of agreement.
In addition to these, monitoring is also done using the following approach:
1. The Health Department and Community Health Center make inforkasi monitoring system to people who experience mental illness.
2. Contact with family, community and society.
3. Home Visits.
In addition it has also received complaints from the public, with respect to community mental health services, this is done to facilitate access and improve health center responsiveness to the needs of Community Mental Health services
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| 6. How was the strategy implemented and what resources were mobilized?
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With the mental health problems that exist in the health center, the health center seeks Sidomulyo seeks a mental health program. The strategies that we have implemented in this activity Advocacy with our first Chief Medical Officer of South Lampung then formed a partnership / MOU with the RSJP Bandar Lampung in order to attempt exercising community mental health programs. Both do training of health personnel in health centers Inpatient Unit Sidomulyo, on community-based mental health and the resource person of the team RSJP Bandar Lampung, the third of the socialization of community mental health with intersectoral
(TOMA, Kadesh), to four pendatan or netting of mental patients in the community each village, to the formation of a corner five souls in UPT. Inpatient Health Center Sidomulyo to bring in doctors from RSJP Bandar Lampung Every Wednesday the second Sunday of each month that works for consultation and treatment, the five we provide nursing care in patients with psychiatric patients were post treated from RSJP Bandar Lampung and provide follow-up treatment prescription of RSJP Bnadar Lampung, and home visits each month for patients post of stocks or those patients who do not want to take medication and did not want to care with injections skizonoate injection or hallopuridol decanoate injection every 28 days, fetching medication collectively to RSJP Bandar Lampung for patients medicine not available at the health center for patients JAMKESDA and JAMKESMAS (but for 2013 s / d in 2014 we were no longer allowed to bring drugs collectively as the Health Insurance prohibits collective distribution, so that for those patients who the medicine is not available, at the health center patients we refer again to RSJP Bandar Lampung). Recently we tried to set up alert village healthy life in the village cultivation by establishing a cadre of mental health involve the local community, for use in health centers there are grooves treatment of psychiatric patients first patient came ushered keluaraga kind of area health centers Sidomulyo or outside the region to sign up to the window, enter the counseling room or corner the soul (the patient or family anamnesis, physical inspection, counseling, patients are given a simple remedy for patients with mild disorders eg insomnia, restless enough given relaxation therapy, for patients with anxiety, insomnia, withdrawal, no hallucinations treated with medication and amuck more severe patients we refer to RSJP Bandar Lampung.
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| 7. Who were the stakeholders involved in the design of the initiative and in its implementation?
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That has to contribute in the implementation of this activity is Chief Medical Officer of South Lampung who have supported our activities, Ka.UPT Inpatient Health Center Sidomulyo in charge of this program, teams of RSJP Bandar Lampung to cooperate in the provision of training of health personnel and inpatient health centers Sidomulyo become our consular, Cross-sectoral (village heads, community leaders) who are willing to work and to support our programs, mental health programs and its shareholders health center doctor who has been conducting Sidomulyo mental health programs with limited abilities, health officials Sidomulyo inpatient health centers.
"At most 300 words, mention anyone who has contributed to the design and / or implementation of this initiative, including relevant civil servants, government agencies, organizations, citizens, NGOs, private sector and others."
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| 8. What were the most successful outputs and why was the initiative effective?
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The activities of our activities that have been successful are: 1. the presence of mental disorder patient data in each village can be netted and mostly we have given the treatment, 2. with their home visits and psychiatric patients drug delivery to the patient's home many patients who do not drop out of medicine, as well as offset the cost of the patient's family since it no longer taking medication to RSJP city float, 3.With the socialization of mental health community know about mental health so that if there is residents who qualify as mental disorders they immediately took him to the health center, 4. with their nursing care or counseling of families with mental patients reduce recurrence of patients since the family began to care about the mental patients and always bring medication to the clinic if the drug out. 5. Facilitate ambulance to refer severe patients and new patients to RSJP Bandar Lampung 6. adanaya visit from Tim RSJP bandar lampung every Wednesday every fortnight to the health center as a consular team.
"At most 400 words. Mention at most five concrete outputs that supports the success of this initiative? And how it was answered SDGs "
In no more than 400 words list no more than five concrete outputs that illustrate the success of the initiative and its role in advancing the SDGs
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| 9. What were the main obstacles encountered and how were they overcome?
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The main problem we faced in the implementation of the program kesehtana our first mental deficiency as for oral drugs and injection drugs available in the health center we are Hallopuridol 1.5 mg, 5 mg hallopuridol, trihexipenidyl 2 mg, 25 mg Amitriptyline, Resperidon 2 mg, Chlorpromazepine 25 mg, Chlorpromazepine 100 mg, 2 mg diazepam.
Meanwhile, we also need Hallopuridol decanoate injection, injection Lodomer (hallopuridol), trifluoperazine 5 mg, Fluoxetine 20 mg, 25 mg Maprotiline, Alprazolam, Clozaril 25 mg.
Skizonoate injection for our own procurement using funds Capitation JKN. Secondly there are patients Gannguan souls who do not have families and do not have their identity became homeless we never refer to it twice but relapsed again because no family to care for patients after discharge from RSJP. Inadequate health workforce overall because they can not visit the patient's home to provide family nursing care to patients with mental disorders. Most patients with mental disorders are a family can not afford, do not have a vehicle to come to the health center for that we have to deliver medication to the patient's home so that the patient does not drop out of medicine. Treatment of people with mental disorders in conditions of acute need of care and health facilities but after treated in RSJP most communities and families not ready to accept because of the stigma of mental disorders is still strong. Therefore we need to coordinate with social services to empower them, especially for patients with patients who did not have families.
"At most 300 words, mentioned description of the main problems faced during implementation as well as countermeasures and solutions"
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