Tenjaksidini: Tangerang Innovation for Early NCD Detection
Tenjaksidini: Revolutionizing Early Detection of Non-Communicable Diseases in Tangerang
Tangerang, Indonesia – non-communicable diseases (NCDs) like hypertension and diabetes mellitus are a growing crisis in Indonesia, considerably contributing to morbidity and mortality. This challenge is amplified by the ”Triple Burden of Disease,” where communities grapple with uncontrolled infectious diseases, rising NCDs, and the resurgence of preventable illnesses. In response, the Golden Jalan Puskesmas UPTD in Tangerang Regency has launched an innovative, technology-driven initiative called Tenjaksidini, which translates to “networking invited to early detection.”
Tenjaksidini represents a critically important leap forward in expanding the reach and effectiveness of NCD early detection. The program fosters active partnerships with a network of external health facilities, including private clinics and self-reliant medical practitioners. This collaborative approach specifically targets the productive age group, particularly individuals who may not have regular access to direct puskesmas services.
At the heart of Tenjaksidini is the utilization of the Indonesian Healthy Submission (Asik). This digital platform standardizes screening processes, enables seamless digital recording of patient data, and facilitates rapid and precise counseling and initial management of detected conditions.
The implementation process involves health workers within the clinical network and independent practices conducting extensive patient interviews. These interviews cover personal and family medical histories, alongside the completion of risk questionnaires. Crucial physical examinations, including blood pressure, blood sugar, and cholesterol checks, are also performed. The collected data is then analyzed using the Asik application, which serves as both a counseling tool and a decision-making aid for subsequent medical follow-up. This streamlined approach not only enhances service delivery but also significantly reduces administrative burdens and boosts overall service efficiency.
The impact of Tenjaksidini is starkly evident in it’s results. Prior to the full implementation of this innovation in 2022, the scope of NCD early detection at the Puskesmas Jalan Emas was only 46 percent. Following the adoption of Tenjaksidini, coverage surged dramatically to 95 percent in 2022 and achieved an notable 100 percent in 2023. This ample increase in detection has led to a greater identification of new NCD cases and improved management of existing conditions like hypertension and diabetes through more structured and targeted interventions.
Further strengthening Tenjaksidini is its cross-sectoral collaborative approach. The program’s implementation team comprises a diverse range of health professionals, including those specializing in health promotion, nutrition, pharmacy, and laboratory services.Educational institutions are also actively involved, with high schools participating through dedication programs that empower agency cadres for early detection. Academic support is provided by the Pelita Harapan University Faculty of Nursing, which has initiated interactive WhatsApp groups for diabetes patients as part of a broader intervention focused on the five pillars of diabetes mellitus control.
The program’s success is further underpinned by clear regulatory frameworks, comprehensive technical training for healthcare workers, and robust health education campaigns. These efforts utilize various media channels, including school-based counseling, teen posyandu (integrated health posts for toddlers and pre-school children), and online platforms. An integrated digital reporting system ensures accurate and efficient monitoring and evaluation processes.
Through Tenjaksidini, the Tangerang Regency Government demonstrates a firm commitment to making NCD early detection services accessible to all segments of society. This initiative serves as a powerful example of how digitalization, collaborative networking, and human resource strengthening can yield tangible results in preventing diseases that are largely avoidable. tenjaksidini is now poised to become a replicable model for other regions and aligns perfectly with the Ministry of Health’s national strategic agenda for NCD control.