Search Repository Universitas Fort De Kock

WHO menyatakan hipertensi di dunia 1,28 miliar dan diabetes di Indonesia 8,4
juta. Puskesmas IV Koto melaksanakan Program Senapan Kaliber. Tujuan penelitian
analisis faktor yang berhubungan dengan pemanfaatan Senapan Kaliber prolanis
Puskesmas IV Koto Kabupaten Agam Tahun 2025.
Penelitian kuantitatif dengan kuisioner, pengambilan sampel proportional simple
random sampling: hipertensi 173 dan diabetes 37 orang, data kualitiatif dengan
wawancara, dilakukan April sampai Juni 2025. Variabel kuantitatif: pengetahuan, sikap,
tindakan, dukungan keluarga dan peran nakes terhadap Senapan Kaliber. Analisis univariat,
bivariat dan multivariat, dan triangulasi data untuk penelitian kualitatif.
Hasil kuantitatif: hipertensi, univariat: variabel pengetahuan rendah (56,1%), sikap
rendah (62,4%) tindakan rendah (52,%), dukungan keluarga rendah (54,3%) dan peran
nakes tinggi (64,2%), tidak memanfaatkan Senapan Kaliber (59%). Bivariat: variabel yang
tidak berhubungan, pengetahuan, sikap, dukungan keluarga dan peran nakes dengan

pemanfaatan Senapan Kaliber (p value >), variabel berhubungan tindakan dengan p-
value=0,001. Multivariat: secara bersama-sama variabel berpengaruh adalah sikap,

dukungan keluarga dan tindakan, yang paling berpengaruh adalah tindakan OR 3,107.
Diabetes: univariat: pengetahuan tinggi (70,3%), sikap tinggi (75,7%), tindakan rendah
(67,6%), dukungan keluarga rendah (56,8%), peran nakes tinggi (75,7%), tidak
memanfaatkan Senapan Kaliber (70,3%). Bivariat: variabel pengetahuan terdapat hubungan
p value 0,05, sikap, tindakan, dukungan keluarga, peran nakes, tidak ada hubungan
dengan pemanfaatan Senapan Kaliber (p value >). Hasil kualitatif: SDM mencukupi, dana
mencukupi, sarana, prasarana belum mencukupi, kebijakan ada, proses sesuai manajemen,
output belum tercapai.
Kesimpulan pemanfaatan Senapan Kaliber rendah dan output tidak tercapai,
dipengaruhi pengetahuan, sikap dan tindakan serta dukungan keluarga, yang paling
berpengaruh adalah tindakan. Saran Puskesmas meningkatkan upaya untuk pengembangan
Inovasi Senapan Kaliber on The dor (Senam Prolanis Amankan Kartu Kendali berobat
melalui On Call, Therapy, Edukasi, Dukungan Keluarga, Home Sharing atau kunjungan
rumah).

The World Health Organization (WHO) reports that globally, 1.28 billion people suffer from
hypertension, and in Indonesia, 8.4 million people live with diabetes. Puskesmas IV Koto has
implemented an innovative program called Senapan Kaliber Prolanis Exercise to Secure the Medical
Control Card. This study aims to analyze the factors associated with the utilization of the Senapan
Kaliber Prolanis program at Puskesmas IV Koto, Agam District, in 2025.
This was a quantitative study using a questionnaire, with proportional simple random
sampling: 173 respondents with hypertension and 37 with diabetes. Qualitative data were also
collected through interviews. The study was conducted from April to June 2025. The quantitative
variables included knowledge, attitude, practice, family support, and the role of healthcare workers
regarding the Senapan Kaliber program. Data were analyzed using univariate, bivariate, and
multivariate analysis, and data triangulation was applied for the qualitative aspect.
Quantitative Results For hypertension patients Univariate results showed low levels of
knowledge (56.1%), attitude (62.4%), practice (52%), and family support (54.3%), while the role of
healthcare workers was high (64.2%). A total of 59% did not utilize the Senapan Kaliber program.
Bivariate analysis showed no significant relationship between knowledge, attitude, family support,
and healthcare workers role with program utilization (p > ), but there was a significant relationship
with practice (p = 0.001). Multivariate analysis showed that attitude, family support, and practice
together influenced utilization, with practice being the most influential factor (OR = 3.107). For
diabetes patients: Univariate results showed high levels of knowledge (70.3%) and attitude (75.7%),
but low practice (67.6%) and family support (56.8%), with a high role of healthcare workers
(75.7%). However, 70.3% still did not utilize the Senapan Kaliber program. Bivariate analysis found
that only knowledge was significantly associated (p = 0.05), while attitude, practice, family support,
and healthcare workers role were not (p > ). Qualitative Results: Human resources and funding
were adequate, but infrastructure and facilities were insufficient. Policies were in place, and
implementation followed standard management processes, but the expected outcomes had not been
achieved.
Conclusion: The utilization of the Senapan Kaliber program was low, and program outcomes
had not been achieved. The influencing factors included knowledge, attitude, practice, and family
support, with practice being the most influential. Recommendation Community health center should
enhance efforts to improve the implementation and utilization of the Senapan Kaliber on The dor
(Prolanis Exercise to Secure the Medical Control Card through On Call, Therapy, Education, Family
Support, Home Sharing or home visits)program.